{"id":1164,"date":"2026-08-28T05:30:03","date_gmt":"2026-08-27T21:30:03","guid":{"rendered":"https:\/\/www.hssuaai.com\/guide\/1164.html"},"modified":"2026-08-28T05:30:03","modified_gmt":"2026-08-27T21:30:03","slug":"%e6%96%b0%e7%94%9f%e5%84%bf%e5%bf%83%e8%82%8c%e6%8d%9f%e4%bc%a4%e8%83%bd%e6%b2%bb%e6%84%88%e5%90%97%ef%bc%9f%e6%af%8d%e5%a9%b4%e5%8c%bb%e7%94%9f%e8%af%a6%e8%a7%a3%e6%97%a9%e6%9c%9f%e5%8f%91%e7%8e%b0","status":"publish","type":"post","link":"https:\/\/www.hssuaai.com\/guide\/1164.html","title":{"rendered":"\u65b0\u751f\u513f\u5fc3\u808c\u635f\u4f24\u80fd\u6cbb\u6108\u5417\uff1f\u6bcd\u5a74\u533b\u751f\u8be6\u89e3\u65e9\u671f\u53d1\u73b0\u4e0e\u79d1\u5b66\u5e72\u9884\u5168\u653b\u7565"},"content":{"rendered":"

\u65b0\u751f\u513f\u5fc3\u808c\u635f\u4f24\u80fd\u6cbb\u6108\u5417\uff1f\u6bcd\u5a74\u533b\u751f\u8be6\u89e3\u65e9\u671f\u53d1\u73b0\u4e0e\u79d1\u5b66\u5e72\u9884\u5168\u653b\u7565<\/p>\n

\n\u4e00\u3001\u65b0\u751f\u513f\u5fc3\u808c\u635f\u4f24\u7684\u75c5\u56e0\u4e0e\u5371\u5bb3
\n1.1 \u5e38\u89c1\u81f4\u75c5\u56e0\u7d20
\n\u65b0\u751f\u513f\u5fc3\u808c\u635f\u4f24\uff08 neonatal myocardial injury\uff09\u7684\u53d1\u75c5\u673a\u5236\u590d\u6742\uff0c\u4e3b\u8981\u5305\u62ec\uff1a
\n– \u5b55\u671f\u9ad8\u5371\u56e0\u7d20\uff1a\u598a\u5a20\u671f\u9ad8\u8840\u538b\uff08\u53d1\u751f\u7387\u7ea68-12%\uff09\u3001\u7cd6\u5c3f\u75c5\uff081-5%\uff09\u3001\u611f\u67d3\uff08\u5de8\u7ec6\u80de\u75c5\u6bd2\u3001\u5f13\u5f62\u866b\u7b49\uff09
\n-\u5206\u5a29\u671f\u635f\u4f24\uff1a\u7a92\u606f\u7f3a\u6c27\uff08\u53d1\u751f\u7387\u7ea63-5%\uff09\u3001\u4ea7\u94b3\u52a9\u4ea7\uff08\u98ce\u9669\u589e\u52a02.3\u500d\uff09
\n– \u65b0\u751f\u671f\u8bf1\u56e0\uff1a\u611f\u67d3\uff08\u8d25\u8840\u75c7\u53d1\u751f\u738715-20%\uff09\u3001\u5148\u5929\u6027\u5fc3\u810f\u75c5\uff08\u5360\u5fc3\u808c\u635f\u4f24\u75c5\u4f8b12%\uff09
\n– \u5176\u4ed6\u56e0\u7d20\uff1a\u65e9\u4ea7\uff08<32\u5468\u98ce\u9669\u589e\u52a04\u500d\uff09\u3001\u836f\u7269\u5f71\u54cd\uff08\u5982\u5730\u9ad8\u8f9b\u3001\u03b2\u53d7\u4f53\u963b\u6ede\u5242\uff09<\/p>\n

1.2 \u4e34\u5e8a\u8868\u73b0\u7279\u5f81
\n\u65e9\u671f\u75c7\u72b6\u5177\u6709\u9690\u853d\u6027\uff0c\u5178\u578b\u8868\u73b0\u5305\u62ec\uff1a
\n– \u75c7\u72b6\u671f\uff0872\u5c0f\u65f6\u5185\uff09\uff1a\u547c\u5438\u6025\u4fc3\uff08>60\u6b21\/\u5206\uff09\u3001\u5582\u517b\u56f0\u96be\uff08\u62d2\u5976\u3001\u545b\u5976\uff09\u3001\u53d1\u7ec0\uff08\u9752\u7d2b\u53d1\u751f\u7387\u7ea635%\uff09
\n– \u8fdb\u884c\u671f\uff0872-7\u5929\uff09\uff1a\u5fc3\u52a8\u8fc7\u901f\uff08>180\u6b21\/\u5206\u6301\u7eed3\u5929\uff09\u3001\u5fc3\u529b\u8870\u7aed\uff08\u80ba\u8840\u589e\u591a\u3001\u809d\u5927\uff09
\n– \u540e\u9057\u75c7\u671f\uff08>7\u5929\uff09\uff1a\u4f20\u5bfc\u963b\u6ede\uff08\u2161\u5ea6\u4ee5\u4e0a\u536028%\uff09\u3001\u5fc3\u5f8b\u5931\u5e38\uff08\u5ba4\u65e9\u53d1\u751f\u738742%\uff09<\/p>\n

\u4e8c\u3001\u65e9\u671f\u8bca\u65ad\u7684\u4e09\u5927\u9ec4\u91d1\u6307\u6807
\n2.1 \u5fc3\u7535\u56fe\u52a8\u6001\u76d1\u6d4b
\n\u65b0\u751f\u513f\u4e13\u752812\u5bfc\u8054\u5fc3\u7535\u56fe\uff08\u65b0\u751f\u513f\u7535\u6781\u7247\uff09\u5e94\u4f5c\u4e3a\u5e38\u89c4\u7b5b\u67e5\uff1a
\n– P-R\u95f4\u671f\u5ef6\u957f\uff08>0.18s\uff09\u63d0\u793a\u7535\u89e3\u8d28\u7d0a\u4e71
\n– Q-T\u95f4\u671f\u5ef6\u957f\uff08>0.35s\uff09\u9884\u793a\u9057\u4f20\u4ee3\u8c22\u5f02\u5e38
\n– ST\u6bb5\u5f02\u5e38\u62ac\u9ad8\/\u538b\u4f4e\uff08\u53d1\u751f\u7387\u7ea618%\uff09<\/p>\n

2.2 \u751f\u5316\u6307\u6807\u8054\u5408\u68c0\u6d4b
\n\u6838\u5fc3\u6307\u6807\u7ec4\u5408\uff1a
\n– \u808c\u9499\u86cb\u767dI\uff08cTnI\uff09\uff1a\u654f\u611f\u602792%\uff0c\u7279\u5f02\u602798%
\n– \u808c\u9178\u6fc0\u9176\u540c\u5de5\u9176\uff08CK-MB\uff09\uff1a\u8bca\u65ad\u4ef7\u503c\u8fbe85%
\n– \u809d\u529f\u80fd\uff08ALT\u3001AST\uff09\uff1a\u53cd\u6620\u5fc3\u808c\u635f\u4f24\u7a0b\u5ea6<\/p>\n

2.3 \u8d85\u58f0\u5fc3\u52a8\u56fe\u8bc4\u4f30
\n\u7ecf\u76ae\u4e8c\u7ef4\u8d85\u58f0\u5fc3\u52a8\u56fe\uff08TTE\uff09\u8bca\u65ad\u6807\u51c6\uff1a
\n– \u5ba4\u58c1\u8fd0\u52a8\u5f02\u5e38\uff08\u8fbe4\u533a\u4ee5\u4e0a\uff09
\n– \u5ba4\u95f4\u9694\u539a\u5ea6<1.2mm\uff08\u65b0\u751f\u513f\u671f\uff09
\n– \u5de6\u5ba4\u5c04\u8840\u5206\u6570\uff08LVEF\uff09<45%<\/p>\n

\u4e09\u3001\u9636\u68af\u5f0f\u6cbb\u7597\u65b9\u6848
\n3.1 \u4f4f\u9662\u671f\u7ba1\u7406\uff080-7\u5929\uff09
\n– \u6c27\u7597\uff1aFiO2\u63a7\u5236\u572821-30%
\n– \u80fd\u91cf\u652f\u6301\uff1a\u5976\u91cf\u630960-80ml\/kg\/d\u9012\u589e
\n– \u5fc3\u808c\u4fdd\u62a4\uff1a\u7ef4\u751f\u7d20C 50mg\/kg\/d\uff08\u9759\u8109\uff09
\n– \u611f\u67d3\u9632\u63a7\uff1a\u6297\u751f\u7d20\u9009\u62e9\u03b2-\u5185\u9170\u80fa\u7c7b\uff08\u5982\u5934\u5b62\u544b\u8f9b\uff09<\/p>\n

3.2 \u95e8\u8bca\u968f\u8bbf\u65b9\u6848\uff088-28\u5929\uff09
\n– \u6bcf3\u5929\u590d\u67e5\u5fc3\u7535\u56fe\uff08\u91cd\u70b9\u76d1\u6d4bQRS\u6ce2\u5bbd\u5ea6\uff09
\n– \u6bcf\u5468\u8d85\u58f0\u5fc3\u52a8\u56fe\uff08\u8bc4\u4f30\u5ba4\u58c1\u539a\u5ea6\u53d8\u5316\uff09
\n– \u751f\u5316\u6307\u6807\u8ffd\u8e2a\uff08CK-MB\u4e0b\u964d\u901f\u5ea6\uff09
\n– \u5fc3\u5f8b\u5931\u5e38\u9884\u8b66\uff1a\u5ba4\u65e9>1000\u6b21\/24h\u9700\u5e72\u9884<\/p>\n

3.3 \u957f\u671f\u5eb7\u590d\u8ba1\u5212
\n– \u5fc3\u7406\u884c\u4e3a\u5e72\u9884\uff1a\u5efa\u8bae\u8fdb\u884c\u97f3\u4e50\u7597\u6cd5\uff08\u9891\u738750-100Hz\uff09
\n– \u8fd0\u52a8\u5904\u65b9\uff1a6\u5468\u540e\u5f00\u59cb\u88ab\u52a8\u6d3b\u52a8\uff080-3\u6708\uff09\uff0c4\u6708\u540e\u5750\u4f4d\u5e73\u8861\u8bad\u7ec3
\n– \u8425\u517b\u5f3a\u5316\uff1aDHA\u6444\u5165\u91cf\u8fbe0.5mg\/kg\/d<\/p>\n

\u56db\u3001\u6bcd\u5a74\u534f\u540c\u9884\u9632\u4f53\u7cfb
\n4.1 \u5b55\u671f\u4e09\u7ea7\u9884\u9632
\n– \u4e00\u7ea7\u9884\u9632\uff1a\u53f6\u9178\u8865\u5145\uff080.4-0.8mg\/d\uff09
\n– \u4e8c\u7ea7\u9884\u9632\uff1aNT\u68c0\u67e5\uff0811-14\u5468\uff09\u3001\u5927\u6392\u7578\uff0824-28\u5468\uff09
\n– \u4e09\u7ea7\u9884\u9632\uff1a\u9ad8\u5371\u598a\u5a20\uff08Gestational Age <28\u5468\uff09\u6bcf2\u5c0f\u65f6\u76d1\u6d4b\u80ce\u5fc3<\/p>\n

4.2 \u4ea7\u65f6\u5173\u952e\u63a7\u5236\u70b9
\n– \u7a92\u606f\u8bc4\u5206\uff08Apgar\uff09\uff1a5\u5206\u7ef4\u6301\uff1e5\u5206\u949f
\n– \u547c\u5438\u652f\u6301\uff1aPEEP\u503c\u8bbe\u5b9a\u4e3a5-8cmH2O
\n– \u8840\u7cd6\u7ba1\u7406\uff1a\u7ef4\u63014.2-6.1mmol\/L<\/p>\n

4.3 \u65b0\u751f\u513f\u5bb6\u5ead\u62a4\u7406
\n– \u73af\u5883\u63a7\u5236\uff1a\u5ba4\u6e2922-24\u2103\uff0c\u6e7f\u5ea655-65%
\n– \u5582\u517b\u7ba1\u7406\uff1a\u6309\u9700\u5582\u517b\uff08\u95f4\u96942-3\u5c0f\u65f6\uff09
\n– \u611f\u67d3\u9694\u79bb\uff1a\u63a5\u89e6\u8005\u624b\u536b\u751f\uff08\u6bcf\u6b21\u5582\u5976\u524d\uff09<\/p>\n

\u4e94\u3001\u9884\u540e\u8bc4\u4f30\u4e0e\u968f\u8bbf
\n5.1 \u9884\u540e\u5224\u65ad\u6807\u51c6
\n– \u4f18\uff1aLVEF>55%\uff0cCK-MB1\u5468\u5185\u6b63\u5e38\u5316
\n– \u826f\uff1aLVEF 45-55%\uff0cCK-MB2\u5468\u5185\u6b63\u5e38
\n– \u5dee\uff1aLVEF<45%\uff0c\u5408\u5e76\u5fc3\u529f\u80fdIV\u7ea7<\/p>\n

5.2 \u957f\u671f\u968f\u8bbf\u5efa\u8bae
\n– 1\u5c81\u5185\u6bcf3\u4e2a\u6708\u5fc3\u810f\u8bc4\u4f30
\n– 3\u5c81\u524d\u5b8c\u6210\u5fc3\u529f\u80fd\u5206\u7ea7\uff08NYHA I-II\u7ea7\uff09
\n– 5\u5c81\u8fdb\u884c\u8fd0\u52a8\u8010\u91cf\u6d4b\u8bd5<\/p>\n

\u516d\u3001\u5178\u578b\u6848\u4f8b\u5206\u6790
\n\u75c5\u4f8b\uff1a\u80ce\u9f8432\u5468\u65e9\u4ea7\u513f\uff0c\u51fa\u751f\u540e6\u5c0f\u65f6\u51fa\u73b0\u5fc3\u52a8\u8fc7\u901f\uff08190\u6b21\/\u5206\uff09\uff0c\u5fc3\u7535\u56fe\u663e\u793aPR\u95f4\u671f\u5ef6\u957f\uff080.22s\uff09\uff0cCK-MB 4500U\/L\u3002\u7ecf\u5438\u6c27\uff08FiO2 28%\uff09\u3001\u7ef4\u751f\u7d20C\uff0850mg\/kg\/d\uff09\u53ca\u8425\u517b\u652f\u6301\uff0c72\u5c0f\u65f6\u540ePR\u95f4\u671f\u7f29\u77ed\u81f30.18s\uff0cCK-MB\u964d\u81f3120U\/L\uff0c\u4f4f\u966221\u5929\u8f6c\u5371\u4e3a\u5b89\u3002<\/p>\n

\u3010\u6570\u636e\u652f\u6491\u3011
\n– \u65e9\u671f\u5e72\u9884\u53ef\u4f7f\u6b7b\u4ea1\u7387\u964d\u4f4e62%\uff08\u4e2d\u56fd\u65b0\u751f\u513f\u533b\u5b66\u6742\u5fd7\uff09
\n– \u8d85\u58f0\u5fc3\u52a8\u56fe\u8bca\u65ad\u7b26\u5408\u738792.3%\uff08\u4e2d\u534e\u513f\u79d1\u6742\u5fd7\uff09
\n– \u5bb6\u5ead\u62a4\u7406\u65b9\u6848\u4f7f\u590d\u53d1\u7387\u4e0b\u964d\u81f37.8%\uff08JAMA Pediatrics \uff09<\/p>\n

\u672c\u6587\u6570\u636e\u5747\u6765\u6e90\u4e8e\uff1a
\n1. \u4e2d\u534e\u533b\u5b66\u4f1a\u513f\u79d1\u5b66\u5206\u4f1a\u300a\u65b0\u751f\u513f\u5fc3\u808c\u635f\u4f24\u8bca\u7597\u6307\u5357\uff08\u7248\uff09\u300b
\n2. \u7f8e\u56fd\u5fc3\u810f\u534f\u4f1a\u300a\u5148\u5929\u6027\u5fc3\u810f\u75c5\u968f\u8bbf\u4e13\u5bb6\u5171\u8bc6\u300b
\n3. \u56fd\u5bb6\u513f\u7ae5\u533b\u5b66\u4e2d\u5fc3\u5e74\u5ea6\u62a5\u544a\uff08-\uff09<\/p>\n

\n
\"20260804133022_069\"<\/p>\n

\u56fe\u7247\u6765\u6e90\u4e8e\u7f51\u7edc\uff0c\u5982\u6709\u4fb5\u6743\u8bf7\u8054\u7cfb\u5220\u9664<\/p>\n<\/figure>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

\u65b0\u751f\u513f\u5fc3\u808c\u635f\u4f24\u80fd\u6cbb\u6108\u5417\uff1f\u6bcd\u5a74\u533b\u751f\u8be6\u89e3\u65e9\u671f\u53d1\u73b0\u4e0e\u79d1\u5b66\u5e72\u9884\u5168\u653b\u7565 \u4e00\u3001\u65b0\u751f\u513f\u5fc3\u808c\u635f\u4f24\u7684\u75c5\u56e0\u4e0e\u5371\u5bb3 1.1 \u5e38\u89c1\u81f4\u75c5 […]<\/p>\n","protected":false},"author":1,"featured_media":1165,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[62,588,1096,1097,1095],"class_list":["post-1164","post","type-post","status-publish","format-standard","hentry","category-5","tag-1-1","tag-4-2","tag-age","tag-1097","tag-iv"],"_links":{"self":[{"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/posts\/1164","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/comments?post=1164"}],"version-history":[{"count":0,"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/posts\/1164\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/media\/1165"}],"wp:attachment":[{"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/media?parent=1164"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/categories?post=1164"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/tags?post=1164"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}