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浅谈新生儿预防多巴胺致皮肤损害的方法

     【摘要】多巴胺是一种血管活性药物,具有改善周围循环、增强心肌收缩力、加快心率,收缩外周血管,从而升高血压的作用。在新生儿科常用此药治疗重症HIE、休克,新生儿心力衰竭、重症肺炎等,以改善微循环在持续静脉微量泵注射多巴胺过程中,对局部血管刺激性强,血管局部反应大,静脉穿刺部位延静脉走向常出现皮肤苍白、发红、青紫、肿胀、甚至皮肤坏死等缺血缺氧性改变。

    【关键词】多巴胺;皮肤损害;新生儿

    Discussed shallowly the newborn prevents the dopamine to send the method which the skin harms

    Dong Wenqin1 Song Libo2 Fang Ying1

    【Abstract】The dopamine is one kind of blood vessel active medicine, has periphery the improvement to circulate, the enhancement cardiac muscle shrinkage force, to speed up the heart rate, the contraction circumference blood vessel, thus elevates the blood pressure the function. Treats critically ill HIE, the shock in the newborn department of pediatrics commonly used this medicine, the newborn heart failure, critically ill pneumonia and so on, improves the microcycle to continue in the vein micro pump injection dopamine process, to partial blood vessel irritant, the blood vessel local response is big, the venipuncture spot extends the vein to move toward often presents the skin palely, to blush, the blue and purple, swelling, even ischemia anoxic changes and so on skin necrosis. ......

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