感谢
这个时候真的束手无策,我自己去搜索资料,看到一点点的负面信息就非常紧张,但愿最后是虚惊一场吧。
谢谢祝福!也祝福每个宝宝都平安降临。
人生从一开始就是际遇
也是无可奈何的事
都是命
因为医生诊断是“轻微”,在积极治疗的情况下可以恢复的很好
新生儿脑损伤治疗不容易治愈,但这并不代表没有康复的可能,而且很多新生儿脑损伤患儿在积极接受治疗后病情有了很大的改善,一般情况基本不会对生存质量产生影响。
专家们表示,治疗新生儿脑损伤的方法有很多,只是目前还没有一种能百分百确保治愈的方法。对于新生儿脑损伤治疗方法,都是可以分为以下几类。
一:药物治疗
药物治疗主要是针对由于缺氧或者缺血造成脑损伤情况。方法:
1、保证充分的脑血流灌注常用多巴胺每分钟5-10μg/kg静脉滴注。
2、供给足够的葡萄糖以满足脑组织能量代谢需要:可按每分钟6-8mg/kg给予。
3、血钙低于1.9mmol/L时可静脉葡萄糖酸钙
4、适当限制液体入量:每日量50-60ml/kg输液速度在4ml/kg/h以内。
二:特殊治疗
特殊的治疗方法中,使用神经营养因子时比较普遍的一种。当宝宝神经细胞的损害很明确,在CT、磁共振上,在指标上都有,可以给他用一些神经营养因子。现在这种东西比较多,有脑活素,有神经生长因子、刺激因子,有很多神经营养因子,这些神经营养因子对脑损伤的恢复,有很好的效果。
三:借助医疗设备
有的医院有高压氧舱,就是加压,把血里面的氧量提高,这样对缺氧、缺血性脑损伤的恢复有一些帮助。比如,上海有一种现象,就是局部出现亚低温,温度高了,细胞代谢就旺盛,就把他的头上戴一个冰帽子,温控,保证他的体温比37度低一点,这样脑细胞容易恢复,温度低了以后,细胞代谢慢了,就不容易产生缺氧、缺糖这些能量代谢的问题,所以促进他的恢复。
Memconium aspiration
Meconium Aspiration
What is meconium aspiration?
Meconium aspiration occurs when a baby breathes in amniotic fluid containing meconium (the baby's first stools).
一般都会喝羊水 如果呛到可能因为羊水混入了胎便 这个是个比较棘手的情况 因为可能正因为先天发育的情况才导致胎便混入羊水吧 。
祝福祝
What causes meconium aspiration?
Before or during labor, the fetus sometimes passes the meconium stool into the amniotic fluid. It is not clearly understood why this happens. It may be a natural event, but it is also thought to be related to fetal distress in some babies. When the thick meconium mixes into the amniotic fluid, it is swallowed and breathed into the airway of the fetus. As the baby takes the first breaths at delivery, meconium particles enter the airway and can be aspirated (inhaled) deep into the lungs.
Some more
Who is affected by meconium aspiration?
Meconium is passed into the amniotic fluid in about 10 percent of births. It usually occurs in babies born at term (37 to 41 weeks) or post-term (after 42 weeks).
Why is meconium aspiration a concern?
Meconium particles in the amniotic fluid can block small airways and prevent the exchange of oxygen and carbon dioxide after birth. Some babies have immediate respiratory distress and have to be resuscitated at birth. Others develop respiratory distress within a few hours.
Some babies with meconium aspiration need a mechanical ventilator (breathing machine) because of the difficulty breathing. The plugged airways may cause air to be trapped and leak into the tissues in and around the lungs. Infection can also occur causing pneumonia. Although the condition often improves within a few days, severe meconium aspiration, and the respiratory problems it causes, may lead to death in a small number of babies.
What are the symptoms of meconium aspiration?
Meconium in the amniotic fluid gives the fluid a greenish color. This is called meconium staining. Babies who have been exposed to meconium in the amniotic fluid for a long time may have yellowed skin and nails.
The following are the most common symptoms of meconium aspiration. However, each baby may experience symptoms differently. Symptoms may include:
Rapid breathing
Retractions (pulling in of the chest wall)
Grunting sounds with breathing
Cyanosis (blue coloring)
Overdistended chest because of trapped air
The symptoms of meconium aspiration may resemble other conditions or medical problems. Always consult your baby's doctor for a diagnosis.
How is meconium aspiration diagnosed?
The presence of meconium in the amniotic fluid is key to the diagnosis. A chest X-ray also helps diagnose meconium aspiration. X-rays are a diagnostic test that uses invisible electromagnetic energy beams to produce images of internal tissues, bones, and organs onto film.
虽然给不了建议
但是看到这样的帖子觉得很心疼
希望小宝宝健康
谢谢!
目前只能是配合医院积极治疗,没有其它的选择了。
今天跟医院沟通是说需要再住院观察一周后出院,一个月后再去复查。看来紧绷着神经的日子还有很长,唯有调整心态勇敢面对了。
谢谢祝福
希望这段难关可以快点过去
谢谢
真的很揪心,不希望这样的磨难发生在任何一个小宝宝身上,每个宝宝都是小天使。
希望没有什么问题
轻微的,治疗以后很容易恢复,主要是医院和医生要靠谱。我有个朋友的宝宝也是类似情况,他的更严重,出生后在ICU待了两个多月,现在一岁多了,宝宝健康活泼,一切正常。所以不必太担心,尽可能给他最好的看护和照顾就行。
谢谢哦
感觉又看到了希望:)
卓邦义
如果医院算当地靠谱的,一切相信医生为先,积极配合治疗
(以下大多节选自网络,无责任筛选及整理,希望能借此安慰下楼主)
1,相信医生的判断, 轻度缺氧缺血性脑损伤。
临床表现可能为,过度兴奋, 易激怒,对刺激反应过强,下颌和肢体颤动, 原始反应活跃,但肌张力正常,前囟门不紧张,无惊厥发生。
中度可能表现为嗜睡,对外界反应迟钝,肌张力减低,拥抱,吸吮等原始反射减弱,一部分小儿可有惊厥 (可作为分界线)
相信医生的判断,积极治疗,轻度的话,预后基本不会留下后遗症。
祝早日康复,每个宝宝都是天使。
家人间互相支持,相信医生,和宝宝自己的康复能力。
(相信医生会对症给出最佳治疗方案,因没有科学的参考依据,可以无视以下部分)
2,可能的治疗包括但不限于
给与镇静、脱水降颅压、维持水电解质、酸碱平衡稳定、预防出血等治疗,渡过脑水肿高峰期为先。
有人提到了“营养脑细胞”(输液)疗法。
奈何搜不到科学点的参考文献或相关文章,完全不知道其输液成分,不予置评。
高压氧治疗,可以帮助受损伤神经细胞恢复,一般没有什么副作用。