新生儿学 英文PDF电子书下载

Chapter 1 Organization of the Neonatal Care 1

1.1 Introduction 1

1.2 NICU Family Suite 3

1.3 NICU Lactation Room 3

Chapter 2 Introduction of Newborns 5

2.1 Definition 5

2.2 Classification of Newborns 5

2.3 Physical Examination of Newborns 9

Chapter 3 High-risk Pregnancies and High-risk Infants 23

3.1 High-risk Pregnancies 23

3.2 The High-risk Infants 34

3.3 Multiple Gestation Pregnancies 36

3.4 Prematurity and Intrauterine Growth Restriction(IUGR) 40

Chapter 4 Assessment and Care of Newborns 51

4.1 Delivery Room Care 51

4.2 Nursery Care 53

4.3 Resuscitation of the Newborn 56

4.4 Post-Resuscitation Care 61

4.5 Neurodevelopment and Care in the NICU 63

4.6 NIDCAP 66

4.7 Kangaroo Mother Care(KMC) 68

4.8 Pain Management in Newborn Infants 71

4.9 Discharge Criteria 74

4.10 Post-discharge Follow Up 74

Chapter 5 Temperature Control 75

5.1 Heat Production 75

5.2 Mechanisms of Heat Loss 76

5.3 Management to Prevent Heat Loss 76

5.4 Neutral Thermal Environment 77

5.5 Hazards of Temperature Control Methods 79

Chapter 6 Neonatal Enteral Nutrition 80

6.1 Infant Nutrient Requirements 80

6.2 NICU Protocol for Gut Priming in Preterm Infants 83

6.3 Choice of Enteral Feeding 85

6.4 Minimal Enteral Feeding(Trophic Feeding) 87

Chapter 7 Parenteral Nutrition 94

7.1 Indications 94

7.2 Nutrient Goals 94

7.3 Energy Requirements 94

7.4 Fluid Requirements 97

7.5 Composition 98

7.6 Infusion Routes 104

7.7 Monitoring 104

7.8 Complications 105

7.9 Metabolic 105

7.10 Calculations 105

Chapter 8 Fluid and Electrolytes 107

8.1 Introduction 107

8.2 Threapy 108

8.3 Conclusion 112

Chapter 9 Infections of Newborns 113

9.1 Sepsis 113

9.2 Infection Control Guidlines in NICU 118

9.3 Environment Control 121

9.4 NICU MRSA Standard Guidelines for Singleton 123 Multiple Births 123

Chapter 10 Respiratory Tract Disorders 125

10.1 Apnea 125

10.2 Respiratory Distress Syndrome 125

10.3 Transient Tachypnea of the Newborn 127

10.4 Meconium Aspiration Syndrome 130

10.5 Diaphragmatic Hernia 137

10.6 Pulmonary Hemorrhage 142

10.7 Persistent Pulmonary Hypertension of the Newborn 145

10.8 Pneumothorax 150

10.9 Pneumomediastinum 152

10.10 Pulmonary Interstitial Emphysema 153

Chapter 11 Congenital Heart Disease 157

Chapter 12 Digestive System Disorders 163

12.1 Gastroesophageal Reflux Disease(GERD) 163

12.2 Necrotizing Enterocolitis 164

12.3 Thrush 169

12.4 Meconium Ileus(MI) 171

12.5 Hypertrophic Pyloric Stenosis(HPS) 172

12.6 Pylorospasm(PS) 174

12.7 Neonatal Diarrhea 176

Chapter 13 Neonatal Hematological Disorders 189

13.1 Anemia in the Newborn Infant 189

13.2 Neonatal Polycythemia 196

Chapter 14 Neonatal Jaundice 198

14.1 Bilirubin 198

14.2 Physiological Jaundice 199

14.3 Pathological Jaundice 199

14.4 Bilirubin Encephalopathy(Kernicterus) 202

14.5 ABO Incompatibility 207

14.6 Rh Incompatibility 208

14.7 Exchange Transfusion 209

Chapter 15 Disorders of Nervous System 214

15.1 The Cranium 214

15.2 Traumatic,Epidural,Subdural,and Subarachnoid Hemorrhage 216

15.3 Intracranial-Intraventricular Hemorrhage and Periventricular Leukoma-lacia 217

15.4 Brain Injury from Inflammation,Infection,and Medications 222

15.5 Hypoxia-Ischemia Encephalopathy(HIE) 223

15.6 Spine and Spinal Cord 230

15.7 Neonatal Seizures 231

15.8 Peripheral Nerve Injuries 243

Chapter 16 Disorders of Endocrine System 247

16.1 Infants of Diabetic Mothers 248

16.2 Hypoglycemia 251

Chapter 17 Disorders of Genitourinary System 255

17.1 Introduction 255

17.2 Physiologic Characteristics of the Urinary System in the Children 255

17.3 Characteristics of the Urination and Urine 256

17.4 Diagnostic Considerations 256

17.5 Renal Vein Thrombosis(RVT) 257

17.6 Circumcision 258

17.7 Acute Renal Failure(ARF)in Neonates 258

Chapter 18 Retinopathy of the Prematuries 263

18.1 Introduction 263

18.2 Diagnosis 263

18.3 Treatment 264

18.4 Prevention 264

Chapter 19 Common Neonatal Procedures 266

19.1 Umbilical Vein Catheterization(UVC) 266

19.2 Heel Stick(Capillary Blood Sampling) 269

19.3 Intubation 271

19.4 Lumbar Puncture(Spinal Tap) 274

Chapter 20 Common NICU Medication Guidelines 277

20.1 Acyclovir 277

20.2 Albumin 278

20.3 Aminophylline 278

20.4 Ampicillin 279

20.5 Atropine Sulfate 280

20.6 Calcium Glubionate 281

20.7 Cefotaxime Sodium 284

20.8 Ceftazidime 285

20.9 Ceftriaxone Sodium 285

20.10 Clindamycin 286

20.11 Dexamethasone 287

20.12 Digoxin 288

20.13 Dobutamine 289

20.14 Dopamine 290

20.15 Erythromycin 291

20.16 Heparin Sodium 292

20.17 Ibuprofen 293

20.18 Indomethacin 294

20.19 Insulin,Regular 295

20.20 Midazolam 296

20.21 Phenobarbital 297

20.22 Phenytoin 298

20.23 Ranitidine 299

20.24 Surfactants 299

20.25 Theophylline 300

20.26 Vitamin K1 301

20.27 Zidovudine 301

20.28 Furosemide(LASIX) 302

20.29 Heparin 304

Appendix 307

References 311