{"nowTime30":1782280749225,"lyBarModerator":null,"metaSearch":{"description":"前两天，在北京协和医院儿科举办的早产儿&ldquo;阳光天使联谊会&rdquo;活动中，8岁的小雨载歌载舞走上前台。她的妈妈在一旁轻轻用双手合着拍，笑颜中有泪光闪动。早产儿的护理与喂养虽难，但在协和医院的帮助下，顺利的闯过道道难关！\n因为妊高症住院紧急剖宫产\n 怀孕7个月的她开始出现头晕了，视物也模","keywords":"早产儿的护理与喂养—来自协和医院的真实案例_洞医","title":"早产儿的护理与喂养—来自协和医院的真实案例_洞医","channels":null},"identificate":{"id":"0300b4bddfaf11e6a61c00163e04584d","isDel":0,"createAt":1484985344390,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","realName":"赵玉","certifiedStatus":2,"phone":"111111111111","email":"2276635444@qq.com","hospitalId":"31c19c1b453011e69d4700163e005165","departmentId":"2000","illName":"","illId":"793a72a2bb5f11e6a61c00163e04584d","cardType":1,"cardImg":"http://01luntan.com/ly_img/1484985951761.jpg","idCardImg":"","identityType":2,"stop":0,"departmentName":"儿科","hospitalName":null},"canEdit":null,"adList":[],"lyBar":{"id":"1708","isDel":0,"createAt":1483439344750,"createBy":"system","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":"北京协和医院儿科","type":101,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":null,"provinceId":"110000","cityId":"110101","illId":null,"hospitalId":"15009","keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":"{\"description\":\"洞医为您提供:协和医院儿科急诊、协和医院儿科电话、病友的治疗经验等相关信息，让您在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"协和医院儿科急诊_协和医院儿科电话_洞医\",\"title\":\"协和医院儿科急诊_协和医院儿科电话_洞医\"}","adInfo":null},"isLikeThisTopic":null,"lastTopics":[{"id":"5234","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"宝宝疫苗接种那些事","content":"<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">不久前，&ldquo;大批疫苗未冷藏流入</span><span style=\"font-size: 19px; line-height: 200%;\">18</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">省&rdquo;的新闻引爆了各大媒体。紧接着一篇叫做《疫苗之殇》的文章又点燃了社交网络。今天就请协和医院的专家们聊聊<strong>宝宝疫苗接种那些事</strong>。</span></p>\n<p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\"><img title=\"宝宝疫苗接种那些事\" src=\"http://01luntan.com/ly_img/uimgs/1498395266325.jpg\" alt=\"宝宝疫苗接种那些事\" width=\"400\" height=\"256\" /></span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">&nbsp; &nbsp;很多父母都问我：这个疫苗好像挺危险的，到底还要不要给孩子打？事实上我们看到，不少地方的接种率已经下降了。对此我总是解释说：这些文章显然折射出疫苗管理的一些问题。但如果您因此不敢再打疫苗，请跟随我来了解一下没有疫苗的世界，别让咱对疫苗的误解，反而误了孩子的健康。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">稍微年长些的朋友一定还记得小儿麻痹症这种传染病。那些得病的孩子们即使能逃脱死神，往往也会落下不同程度的残疾。最著名的患者可能是美国总统罗斯福，而我们的每位长辈，大概也都认识一两个因为这个病、而走路一瘸一拐的的熟人。</span></p>\n<p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\"><img title=\"宝宝疫苗接种那些事\" src=\"http://01luntan.com/ly_img/uimgs/1498394985866.jpg\" alt=\"宝宝疫苗接种那些事\" width=\"400\" height=\"225\" /></span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">直到疫苗的出现改变了这一切。还记得那些年，我们一起吃过的糖丸么？现在您基本看不到走路一瘸一拐的青年人了吧。不仅仅是小儿麻痹，疫苗还终结了天花的肆虐，并且让我国这个乙肝大国的儿童感染率从接近</span><span style=\"font-size: 19px; line-height: 200%;\">10%</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">一路降低到</span><span style=\"font-size: 19px; line-height: 200%;\">1%</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">以下。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">值得一提的是，研制出中国第一支疫苗的是协和人汤飞凡。这位沙眼衣原体的发现者，在抗战最艰苦的条件下开辟了中国的防疫事业，挽救了成千上万人的生命。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">如果把病菌比喻成坏人的话，疫苗防病的方式就是两个字：&ldquo;记仇&rdquo;。它会训练我们的免疫系统</span><span style=\"font-size: 19px; line-height: 200%;\">:</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">看见这个坏人就记他一辈子，下回再来狠狠地打。要是没有这种提前的训练，有些厉害的坏人就会一路长驱直入，等我们的免疫系统反应过来，它已经打到总统府了。最开始，这种训练用的是关起来不能再作恶的坏人。随着科技的进步，道具升级成了坏人的一个脑袋瓜、一枚指纹，总之一句话，越来越安全。正因为此，我想告诉朋友们：如今，用成熟工艺，正规生产的疫苗，没有高风险，属于极低风险的制品。</span></p>\n<p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\"><img title=\"宝宝疫苗接种那些事\" src=\"http://01luntan.com/ly_img/uimgs/1498395065133.jpg\" alt=\"宝宝疫苗接种那些事\" width=\"400\" height=\"265\" /></span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">您一定要问了：那为什么还会有&ldquo;疫苗之殇&rdquo;呢？&mdash;&mdash;其实最主要的还是偶然和巧合。比如曾经传得挺邪乎的，接种疫苗之后不幸得了病毒性脑炎的例子。现在您可能已经清楚了，且不说这接种进去的不是活的&ldquo;坏人&rdquo;，只是坏人的指纹，是不能让人生病的。咱就说要是某一批疫苗里真的混进了病毒，这同时肯定不止一两个人中招对吧。所以那个例子更科学的解释，是全国每年</span><span style=\"font-size: 19px; line-height: 200%;\">10</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">亿个接种者，可能就是有极个别人在那几天不幸正要得脑炎，只是他之前恰好种过疫苗，于是无意之中疫苗成了那个背黑锅的人。当然，这比中</span><span style=\"font-size: 19px; line-height: 200%;\">500</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">万彩票的几率还要低得多。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">历史上，反对疫苗的风潮，在欧美也都出现过，这些父母初衷也都是好的：为了保护孩子。但客观结果却是：疫苗接种率下降了，麻疹、百日咳这些传染病卷土重来，也让孩子更加暴露于实实在在的危险之下。智慧的您，会怎样选择呢？</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">最后呢，疫苗也是需要善待的。比如最近的事情之后，有人问我：不打国产疫苗，打进口的会不会好一些？对此我想说，这个事关键在冷链。没有合理的冷链保存，您就是打火星生产的疫苗，一样失效。值得欣慰的是，疫苗温度标签已经逐步登上舞台。它在受热之后会变色，可以贴在疫苗的瓶子上，相当于在脑门上贴了一个&ldquo;历史清白靠谱&rdquo;的证明。也期待它能发挥越来越多的作用。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">总之，我们关注疫苗，不应当是为了把孩子拖回到一个多世纪以前，那个没有疫苗保护的时代，而是为了在推动疾病预防的道路上前行发展。</span></p>\n<p>&nbsp;</p>","barId":"1708","topicTypeId":null,"topicThemeId":"1023","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":6},{"id":"1374","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"新生儿黄疸怎么护理","content":"<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　新生儿黄疸怎么护理？大多数新生宝宝都会出现黄疸，对于黄疸现象，家长们可以不用太担心，因为这是新生儿的正常生理现象。但是新生儿黄疸也有病理性现象，面对这种情况，家长该如何护理新生儿呢？</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　一、新生儿黄疸分类：新生儿黄疸分为生理性黄疸和病理性黄疸</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　生理性黄疸是指由于新生儿胆红素产生过多、肝脏功能不成熟导致胆红素浓度增高而出现的黄疸。足月儿的生理性黄疸是在第2~3天出现，4~5天达到高峰，7~10天消失，黄疸轻重不一，轻者仅限于面颈部，重者可延至躯干四肢，以及巩膜。早产儿的生理性黄疸出现比较早、程度较重，消退较慢，可延至2~4周。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　病理性黄疸的原因有：溶血、重症感染、胆道闭锁以及代谢性疾病等。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　另外一种特殊类型黄疸称为母乳性黄疸，通常发生于纯母乳喂养或以母乳喂养为主的少数新生儿，黄疸于出生后1周后出现，2周左右达高峰，然后逐渐下降。若继续母乳喂养，黄疸可延续4~12周方消退；若停母乳喂养，黄疸在48~72小时明显消退。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　新生儿黄疸正常值：</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　足月儿黄疸正常值：胆红素低于12.9mg/dL。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　早产儿黄疸正常值：胆红素低于15mg/dL。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　小Tips：就是代表100毫升的血液中的胆红素水平低于12.9毫克伟正常。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　二、新生儿黄疸应对有诀窍</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　1、早开奶：最好在宝宝出生30分钟内开奶。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　原因：因为初乳有轻微通便作用，能利于胎便排出，减少宝宝体内的胆红素含量，减少新生儿黄疸。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　2、多观察，勤测量：在自然光线下，观察宝宝皮肤黄染的程度。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　轻度黄疸：只是面部黄染，可在家观察。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　中度黄疸：躯干部皮肤黄染。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　重度黄疸：四肢和手足心也出现黄染，这时需要到医院化验检查。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　3、不需要抽血验黄疸。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　如果医生感觉宝宝黄疸不重，通常可以用经皮测胆仪，仪器碰一下皮肤就可以。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　如果黄疸很严重的时候，才需要及时抽血化验。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　4、吃喝要注意。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">&nbsp;　*喂点葡萄糖水：给新生儿充足的水分，小便过少不利于胆红素的排泄。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　*喂点乳酸菌制剂：借助这些药物，可以尽早使胎便尽早排出。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　*喂点中药：利用中药起到清热解毒，利湿退黄的作用。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　5、拉撒要观察。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　观察尿尿：如果发现尿布被尿液染成特别的黄的颜色，呀抓紧时间去医院。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　观察便便：便便成陶土色，应考虑病理性黄疸，这大多由于先天性胆道畸形所导致的。/6、6、护理要积极：</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　*多做抚触，可以促进血液循环，使黄疸消退。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　*去专业婴儿游泳池游泳，运动能有消退黄疸、缩短黄疸持续时间的作用。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　6、黄疸延长不用怕。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　黄疸消退从躯干开始消退，最后才到面部消退，很多爸妈只注意宝宝露出的面部，黄疸不消退，心里就很紧张，其实只要身体上基本消退了，问题不大。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　温馨提示：</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　生理性黄疸：可根据以上7个诀窍来进行护理，（ps：2-3天之内出现，7-10天自然消退。）</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　病理性黄疸：需要及时到医院进行治疗。（Ps：24小时之内出现，或者5天之后才出现，持续时间在2周以上，并且发复发作。）</p>\n<p>&nbsp;</p>","barId":"1708","topicTypeId":null,"topicThemeId":"1022","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":1},{"id":"4652","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"宝宝厌食，睡不着","content":"<p><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">女,3岁3个月。宝现3岁多，大概有长达半年多的时间都是不怎么吃饭，有时一天一餐饭都不吃，有时一天吃一餐，而且还是想尽办法喂的，平时也什么零食都没给她吃，不知道她是怎么回事，像是不饿一样，这期间一直吃中药调理都不见效果，晚上睡觉也不行，总是不停翻转！吃了缺锌的药也是那样</span></p><p><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">请大家给我一些治疗上的建议</span></p>","barId":"1708","topicTypeId":null,"topicThemeId":"1020","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":6},{"id":"3084","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"胆汁淤积性黄疸？新生儿肝炎？","content":"<p><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">女,3个月。我女儿今天76天。1月3日（37天）住院治疗黄疸，发现肺炎。静脉点滴治疗黄疸和肝功能异常。蓝光照射治疗黄疸。1月13日出院。肺炎基本治愈，黄疸退到医生认为的标准值（化验单附有照片）。2月9号复查肝功能，各项数值虽有所下降，但仍超过正常值。并且直接胆红素（9.4）超过了总胆红素（44.5）的20%。请问医生我女儿是乳儿肝炎吗，或者是胆汁淤积性黄疸？情况是否严重？头孢噻肟等抗生素的治疗是否影响肝功能？</span><br/><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">女儿大便颜色黄色，尿液也正常。出院后有消化不良症状（停了三天母乳喂奶粉）。父亲是乙肝病毒携带者。</span></p><p><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">是否是乳儿肝炎或胆汁淤积性黄疸？</span></p>","barId":"1708","topicTypeId":null,"topicThemeId":"1019","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":1},{"id":"5237","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"儿童系统性红斑狼疮临床症状","content":"<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp; </span><strong><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">儿童系统性红斑狼疮</span></strong><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">（</span><span style=\"font-size: 19px; line-height: 200%;\">SLE</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">）是一种侵犯多个系统、多个脏器的自身免疫性疾病。遗传素质、环境因素、性激素和免疫异常与本病的发生有关。该病非传染病，不需要隔离。</span></p>\n<p style=\"line-height: 200%;\"><strong><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">儿童系统性红斑狼疮有哪些临床表现呢？</span></strong></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">1. </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">全身症状：大多数患儿有发热，还会有食欲不振、乏力等。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">2. </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">皮疹：典型的有蝶形红斑、盘状红斑、甲周红斑，可有全身多型性红斑，有脱发。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">3. </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">粘膜：口鼻的溃疡、糜烂。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">4. </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">关节、肌肉：大小关节的肿痛，肌痛，肌无力。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">5. </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">肾脏：高达</span><span style=\"font-size: 19px; line-height: 200%;\">2/3</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">的</span><span style=\"font-size: 19px; line-height: 200%;\">SLE</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">儿童在就诊时已有肾脏受累，且程度较重。从蛋白尿、镜下血尿、管型尿至肾功能衰竭都可出现。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">6. </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">心血管：常见雷诺现象，心肌炎、心包炎、心律失常等。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">7. </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">呼吸系统：常见渗出性胸膜炎，也可有肺实质侵润性病变、肺不张、肺间质纤维化、肺动脉高压等。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">8. </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">消化系统：可腹痛、腹泻、出血、穿孔、梗阻。少数腹膜炎、腹水。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">9. </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">神经</span><span style=\"font-size: 19px; line-height: 200%;\">/</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">精神系统：虽头痛、呕吐、昏迷、惊厥及精神病等严重的神经精神症状均可见到，但常常仅有慢性抑郁、判断力下降、近事遗忘等细微变化，导致学习成绩下降。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">10. </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">血液系统：常见血中红细胞、白细胞、血小板减少，溶血性贫血，全身表浅淋巴结肿大，轻</span><span style=\"font-size: 19px; line-height: 200%;\">-</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">中度肝脾大。有些儿童</span><span style=\"font-size: 19px; line-height: 200%;\">SLE</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">病初仅表现为血小板减少。</span></p>\n<p>&nbsp;</p>","barId":"1708","topicTypeId":null,"topicThemeId":"1016","readLevel":0,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":6},{"id":"5046","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"妈妈偏爱9岁的弟弟 二胎家庭，老大内心感受需重视","content":"<p style=\"margin-top: 0px; margin-bottom: 16px; padding: 0px; min-height: 26px; color: #333333; font-family: Arial, 'Microsoft YaHei'; line-height: 26.4px; white-space: normal;\">【妈妈偏爱9岁的弟弟 为了锻炼姐姐家务活都交给她做】海南临高县一名14岁的女生小玉6月1日一声不吭离开家，到现在也没回家。5日，她在qq空间上传了一段抽烟自拍视频，母亲李女士看到后感到震惊难过。小玉在当地中学读初二，老师曾听她说过妈妈偏爱9岁的弟弟，把家务活都交给她做，她&ldquo;讨厌妈妈&rdquo;。李女士表示，让女儿做家务本意是锻炼她一下，并没重男轻女，1日那天小玉还问她要钱买衣服，没想到之后就离家出走。李女士希望小玉尽快回家，承诺会改变教育方式。&nbsp;</p>\n<p style=\"margin-top: 0px; margin-bottom: 16px; padding: 0px; min-height: 26px; color: #333333; font-family: Arial, 'Microsoft YaHei'; line-height: 26.4px; white-space: normal; text-align: center;\"><img title=\"妈妈偏爱9岁的弟弟 二胎家庭，老大内心感受需重视\" src=\"http://01luntan.com/ly_img/uimgs/1497419504863.jpg\" alt=\"妈妈偏爱9岁的弟弟 二胎家庭，老大内心感受需重视\" width=\"400\" height=\"301\" /></p>\n<p style=\"margin-top: 0px; margin-bottom: 16px; padding: 0px; min-height: 26px; color: #333333; font-family: Arial, 'Microsoft YaHei'; line-height: 26.4px; white-space: normal;\"><strong class=\"bold\" style=\"line-height: 1.65;\">关于此事，且看网友如何评论：</strong></p>\n<p style=\"margin-top: 0px; margin-bottom: 16px; padding: 0px; min-height: 26px; color: #333333; font-family: Arial, 'Microsoft YaHei'; line-height: 26.4px; white-space: normal;\"><strong class=\"bold\">疯子口木口木：</strong>嗯。。儿子就不用锻炼了吗</p>\n<p style=\"margin-top: 0px; margin-bottom: 16px; padding: 0px; min-height: 26px; color: #333333; font-family: Arial, 'Microsoft YaHei'; line-height: 26.4px; white-space: normal;\"><strong>Deer_槑菜：</strong>小的时候，我做饭，我弟弟是一定会在旁边帮忙烧火的，那些说男孩子不用做事的，脑子有坑吗？</p>\n<p style=\"margin-top: 0px; margin-bottom: 16px; padding: 0px; min-height: 26px; color: #333333; font-family: Arial, 'Microsoft YaHei'; line-height: 26.4px; white-space: normal;\"><strong>你有病啊_：</strong>我们这儿重男轻女也蛮明显的。自从有二胎政策，好多家庭男性都要求离婚。因为头胎是女儿，对象又老了生孩子风险太大。[费解][费解]刷新了我的三观。希望以后不要回来</p>\n<p style=\"margin-top: 0px; margin-bottom: 16px; padding: 0px; min-height: 26px; color: #333333; font-family: Arial, 'Microsoft YaHei'; line-height: 26.4px; white-space: normal;\"><strong>莫里瑞恩：</strong>他妈说的可能是真的，但是多半可能都是叫女孩子做事情，苛刻女孩子的时候都会说：你要让着你弟弟&hellip;&hellip;比如说弟弟打了姐姐，姐姐还手了，母亲就责怪或者是殴打姐姐然后说：你要让着弟弟&hellip;&hellip;</p>\n<p style=\"margin-top: 0px; margin-bottom: 16px; padding: 0px; min-height: 26px; color: #333333; font-family: Arial, 'Microsoft YaHei'; line-height: 26.4px; white-space: normal;\"><strong class=\"bold\">小编观点：二胎家庭，老大内心感受需重视</strong></p>\n<p style=\"margin-top: 0px; margin-bottom: 16px; padding: 0px; min-height: 26px; color: #333333; font-family: Arial, 'Microsoft YaHei'; line-height: 26.4px; white-space: normal; text-align: center;\"><strong class=\"bold\"><img title=\"妈妈偏爱9岁的弟弟 二胎家庭，老大内心感受需重视\" src=\"http://01luntan.com/ly_img/uimgs/1497419255625.jpg\" alt=\"妈妈偏爱9岁的弟弟 二胎家庭，老大内心感受需重视\" width=\"400\" height=\"299\" /></strong></p>\n<p style=\"margin-top: 0px; margin-bottom: 16px; padding: 0px; min-height: 26px; color: #333333; font-family: Arial, 'Microsoft YaHei'; line-height: 26.4px; white-space: normal;\"><strong class=\"bold\">&nbsp; &nbsp; &nbsp;&nbsp;</strong>&nbsp; 父母在教育和照顾孩子时，需要坚持公平公正的原则。孩子因为年龄大或许要承担更多的责任，但这并不意味着，老大在所有事情上都要做出牺牲和让步。特别是不要让孩子因为弟弟妹妹的事情而无端被牵连。</p>\n<p style=\"margin-top: 0px; margin-bottom: 16px; padding: 0px; min-height: 26px; color: #333333; font-family: Arial, 'Microsoft YaHei'; line-height: 26.4px; white-space: normal; text-align: center;\"><img title=\"妈妈偏爱9岁的弟弟 二胎家庭，老大内心感受需重视\" src=\"http://01luntan.com/ly_img/uimgs/1497419352502.jpg\" alt=\"妈妈偏爱9岁的弟弟 二胎家庭，老大内心感受需重视\" width=\"400\" height=\"300\" /></p>\n<p style=\"margin-top: 0px; margin-bottom: 16px; padding: 0px; min-height: 26px; color: #333333; font-family: Arial, 'Microsoft YaHei'; line-height: 26.4px; white-space: normal;\">当然，很多时候绝对的公平是很难做到的，但父母就需要关注孩子会因此而出现的负面情绪。特别是在弟弟妹妹出生后，父母就需要更关注老大的心理变化和可能出现的失落和嫉妒感受。当孩子情绪低迷时，父母可以告诉孩子他的小时候受到过比弟弟妹妹更多的关爱，他和弟弟妹妹都是父母最爱的孩子，则孩子的内心会得到很大的安慰。&nbsp;</p>\n<p>&nbsp;</p>","barId":"1708","topicTypeId":null,"topicThemeId":"1015","readLevel":0,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":6},{"id":"5006","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"小朋友腿太胖被玩具卡住 小儿肥胖症你了解多少 家有胖宝看过来","content":"<p style=\"line-height: 200%;\">&nbsp;</p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 'Arial','sans-serif'; color: #333333; background: white;\">6</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体; color: #333333; background: white;\">月</span><span style=\"font-size: 19px; line-height: 200%; font-family: 'Arial','sans-serif'; color: #333333; background: white;\">11</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体; color: #333333; background: white;\">日</span><span style=\"font-size: 19px; line-height: 200%; font-family: 'Arial','sans-serif'; color: #333333; background: white;\">14</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体; color: #333333; background: white;\">时许，成都双流太平园家具城儿童区，有一名小朋友的双腿被玩具卡住，航鹰路消防中队接警后立即前往处置并成功解救</span></p>\n<p style=\"line-height: 200%; text-align: center;\"><img title=\"小儿肥胖症你了解多少 家有胖宝看过来\" src=\"http://01luntan.com/ly_img/uimgs/1497192202173.jpg\" alt=\"小儿肥胖症你了解多少 家有胖宝看过来\" width=\"400\" height=\"300\" /></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">PS</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">：<strong>小儿肥胖症的症状：</strong></span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">1.</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">一般表现</span> <span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">常有家族肥胖史；智力佳，皮下脂肪丰满，分布比较均匀，身体脂肪积聚以乳部、腹部、臀部及肩部为显著，腹部皮肤出现白纹、粉红色或紫纹；四肢肥胖，尤以上臂和臀部明显。无内分泌紊乱和代谢障碍性疾病；常有疲劳感鶒，活动时气短或腿痛，行动笨拙，膝外翻或扁平足。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">2.</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">食欲极佳</span> <span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">小儿食欲极佳，食欲旺盛、食量大大超过一般小儿</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">3.</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">体重</span><span style=\"font-size: 19px; line-height: 200%;\">/</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">体脂超过参照人群值的界值点</span> <span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">体格生长发育迅速，但骨骼正常或超过同年龄小儿，体重超过同性别同身高正常儿均值</span><span style=\"font-size: 19px; line-height: 200%;\">20%</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">以上或体重超过同身高健康儿平均体重的</span><span style=\"font-size: 19px; line-height: 200%;\">2</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">个标准差</span><span style=\"font-size: 19px; line-height: 200%;\">(M+2SD)</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">；或体重指数大于</span><span style=\"font-size: 19px; line-height: 200%;\">23</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">者。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">4.</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">性发育</span> <span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">性发育一般较早或正常。男孩由于大腿会阴部脂肪过多阴茎可掩藏在脂肪组织中，而显得很小，实际上属正常范围。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">5.</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">有氧能力损伤</span> <span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">肥胖症小儿临床上常无其他不适但明显肥胖有氧能力损伤健康搜索，最大耐受时间、最大氧消耗明显减低；最大心率、每分通气量、二氧化碳产量、做功量明显增高；无氧阈各项指标均低，呈现&ldquo;无氧阈左移</span><span style=\"font-size: 19px; line-height: 200%;\">\"</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">现象肥胖儿活动时心跳、气短、易累的外部表现和不爱参加体力活动的行为习惯。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">6.</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">心理上的压抑和损伤</span> <span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">个性、气质性格、潜能发育以及日后的能力发育、人际交往都有消极的影响。对自己体型的压抑大健康搜索自我评价差。人际交流时易受奚落被取外号甚至受到歧视。沉重的精神压力和心理冲突丧失自信心，变得孤僻青春期因苦恼于肥胖的体型或急于减肥造成许多激烈的心理冲突，有的甚至自杀。</span></p>\n<p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;<img title=\"小儿肥胖症你了解多少 家有胖宝看过来\" src=\"http://01luntan.com/ly_img/uimgs/1497191847003.jpg\" alt=\"小儿肥胖症你了解多少 家有胖宝看过来\" width=\"400\" height=\"300\" /></span></p>\n<p style=\"line-height: 200%;\"><strong><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">小儿肥胖症的饮食调整原则：</span></strong></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">(1)</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">必须保证维持小儿的基本营养及生长发育所需要的营养。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">(2)</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">不宜使体重骤然减轻，开始只要求制止体重速增，下降至超过该年龄正常体重范围</span><span style=\"font-size: 19px; line-height: 200%;\">10%</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">左右时，即不需严格限制食物。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">(3)</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">仍须设法满足小儿食欲，不致发生饥饿的痛苦</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">(4)</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">蛋白质的供给不宜少于每天</span><span style=\"font-size: 19px; line-height: 200%;\">1</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">～</span><span style=\"font-size: 19px; line-height: 200%;\">2g/kg</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">甚至有人主张采用高蛋白饮食，每天蛋白质供给量达</span><span style=\"font-size: 19px; line-height: 200%;\">3</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">～</span><span style=\"font-size: 19px; line-height: 200%;\">4g/kg</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">(5)</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">以糖为主要食物，对脂肪需限制也要适当限制甜食。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">(6)</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">维生素和矿物质不应缺少。根据以上原则鶒，食品应以蔬菜、水果、米饭等为主，外加适量的蛋白质包括瘦肉、鱼、鸡蛋、豆类等。</span></p>\n<p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;<img title=\"1497191679681.jpg\" src=\"http://01luntan.com/ly_img/uimgs/1497191679681.jpg\" alt=\"2.jpg\" /></span></p>\n<p style=\"line-height: 200%;\"><strong><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">关于此事，且看网友如何评论：</span></strong></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">你还好么：不过说真的这腿确实挺胖的。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">司徒斓曦：玩具：我能怎么办！我也很绝望！</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">陈浩南：小朋友：&ldquo;麻麻，今天被卡住了，我很害怕，你现在要多买点东西给我吃！&rdquo;</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">朴觅轩：孩子</span><span style=\"font-size: 19px; line-height: 200%;\">: </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">我能怎么办啊？我也很绝望啊</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">炸鸡的小丸子：看看自己的腿</span><span style=\"font-size: 19px; line-height: 200%;\">[</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">费解</span><span style=\"font-size: 19px; line-height: 200%;\">]</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">笑不出来了</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">长豆角烧茄子：想到了走太快被拖鞋卡主脚的那个小朋友</span></p>\n<p>&nbsp;</p>","barId":"1708","topicTypeId":null,"topicThemeId":"1013","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":6}],"pageObj":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":5,"pageNumber":0,"totalPage":0,"totalRow":0},"loginUser":null,"replies":[],"forumUserFans":null,"herfList":[],"only":"0","topic":{"id":"5231","isDel":0,"createAt":1498393528957,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"早产儿的护理与喂养—来自协和医院的真实案例","content":"<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\"> &nbsp;&nbsp;前两天，在北京协和医院儿科举办的早产儿&ldquo;阳光天使联谊会&rdquo;活动中，</span><span style=\"font-size: 19px; line-height: 200%;\">8</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">岁的小雨载歌载舞走上前台。她的妈妈在一旁轻轻用双手合着拍，笑颜中有泪光闪动。<strong>早产儿的护理与喂养</strong>虽难，但在协和医院的帮助下，顺利的闯过道道难关！</span></p>\n<p style=\"line-height: 200%;\"><strong style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">因为妊高症住院紧急剖宫产</span></strong></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">怀孕</span><span style=\"font-size: 19px; line-height: 200%;\">7</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">个月的她开始出现头晕了，视物也模糊起来。产检中测量血压</span><span style=\"font-size: 19px; line-height: 200%;\">160/110mmHg</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">，尿蛋白</span><span style=\"font-size: 19px; line-height: 200%;\">2+</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">，引起了医生的高度警惕。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">&ldquo;你平时血压高吗？最近有什么不舒服吗？&rdquo;&ldquo;平时血压都很正常，就是最近有些头晕，看东西有些模糊。&rdquo;医生在病历本上写下&ldquo;妊高症&rdquo;三个字，下午就把她收进了医院。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">住院后她才意识到问题严重了：妇产科、麻醉科、眼科医生像走马灯一样轮流检查，自己需要紧急剖宫产。&ldquo;那我的孩子呢？还能保住吗？&rdquo;她已经</span><span style=\"font-size: 19px; line-height: 200%;\">38</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">岁了，好不容易才怀上孕，这个孩子就是命根子呀。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">她抓住儿科李医生的手，&ldquo;无论如何都要救我的孩子！&rdquo;医生解释，&ldquo;我理解您的心情，您的孩子刚刚</span><span style=\"font-size: 19px; line-height: 200%;\">28</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">周，属于早产儿，需要做打持久战的准备。只要您不放弃，我们一定积极救治。&rdquo;女医生的声音温柔而坚定，她的心安定下来。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">李医生随后和夫妻俩详细沟通了关于早产儿养护的知识。早产儿与足月儿相比，要面临诸多问题。首先是呼吸问题，早产儿的肺发育不好，需要用促肺成熟的药物，必要时使用呼吸机；第二是颅内出血问题，由于脑血管很薄，任何一点波动都可能发生颅内出血，甚至遗留脑瘫；第三是最重要的眼睛问题，可能会出现早产儿视网膜病，严重时可致盲，需要眼科手术。第四希望母亲产后能尽量吸母乳，母乳是早产儿最好的食物。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">剖宫产在急诊手术间进行。手术间里凉凉的，消毒的时候她抖了几下，麻醉医师问了句：&ldquo;你冷吗？&rdquo;&ldquo;不冷，就是有些想抖。&rdquo;她深吸了口气，告诉自己放松，坚持。手术进行得很顺利，她听到产科医生说准备接孩子，接着听到了孩子出生的第一声啼哭。&ldquo;是个女孩。&rdquo;旁边有大夫告诉她，她的眼泪刷地掉了下来。</span></p>\n<p style=\"line-height: 200%;\"><strong><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">小雨的第一关是呼吸关</span></strong></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">以出生体重</span><span style=\"font-size: 19px; line-height: 200%;\">1000</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">克为界限，</span><span style=\"font-size: 19px; line-height: 200%;\">1000~1500</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">克的早产儿为极低出生体重早产儿，低于</span><span style=\"font-size: 19px; line-height: 200%;\">1000</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">克的为超低出生体重早产儿。小雨出生时体重仅仅</span><span style=\"font-size: 19px; line-height: 200%;\">1080g</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">，手腕和成年人的食指一样粗细，仿佛吹口气都会断掉。医生们以最快速度把她送到新生儿监护病房。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">&ldquo;呼吸机，开放静脉通路，心电监护，监测生命体征&hellip;&hellip;&rdquo;大夫们立刻就忙乎上了。熟练而又敏捷地插管，给促进肺成熟的药物，连接呼吸机，脐静脉插管&hellip;&hellip;等到小雨的生命体征终于稳定下来，时间已经是夜里</span><span style=\"font-size: 19px; line-height: 200%;\">12</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">点了。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">小雨终于沉沉地睡去，而妈妈却在产科度过了焦虑、紧张的不眠之夜。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">第二天一早，爸爸焦急地等候在病房门口。&ldquo;目前她接着呼吸机，血氧还比较稳定，但不能过于乐观。头三天最容易有呼吸问题，有些婴儿甚至会肺出血，可能有生命危险。&rdquo;唐大夫虽然工作年限不算长，但病情交待稳健娴熟，坚信&ldquo;抱最好的希望，做最坏的打算&rdquo;。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">早产儿的成长过程犹如过五关斩六将，对小雨而言，第一个里程碑是体重达到</span><span style=\"font-size: 19px; line-height: 200%;\">1500g</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">&ldquo;大夫，孩子的体重怎么不如出生体重了？&rdquo;听到孩子第二天体重有下降，爸爸焦急万分。唐大夫给他讲述了生理性体重下降的概念：所有的孩子出生后约</span><span style=\"font-size: 19px; line-height: 200%;\">1</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">周恢复初生体重，早产儿也不例外，她甚至需要更长的时间恢复初生体重，很长一段时间里都需要静脉打营养液维持生命。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">漫长的头三天在焦急及紧张中度过。一天晚上，小雨爸爸妈妈忽然接到医院的电话，孩子气管插管里有些鲜血，可能是肺出血了。爸爸迅速冲到新生儿室门口。大夫抢救结束告诉他，孩子确实肺出血，血量也不少，目前暂时止住了，但还有再出血的风险。爸爸紧紧握住医生的手，&ldquo;我知道路很长，一定要搏一搏，搏一搏。&rdquo;</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">小雨真争气，她的肺出血越来越少，体重也开始上升，脱离了呼吸机，吃奶量也在增加。</span></p>\n<p style=\"line-height: 200%;\"><strong><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">小雨也闯过了感染关</span></strong></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">每一个早产儿都要经过呼吸关、感染关及喂养关。早产儿抵抗力差，很小的一个院内感染都可能造成孩子生命危险。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">住院快</span><span style=\"font-size: 19px; line-height: 200%;\">1</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">个月了，小雨的肚子有些胀，大便里有白细胞，医生怀疑是坏死性小肠结肠炎。爸爸妈妈的心顿时又提到了嗓子眼。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">儿外科会诊后，认为小雨暂时没有手术指征，可以先保守治疗，静脉输抗生素。</span><span style=\"font-size: 19px; line-height: 200%;\">10</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">天后小雨的病情好转，又可以继续吃奶了，夫妻俩的心又一次落回肚子里。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">妈妈担心自己的宝宝是早产儿，会不会留下个后遗症，会不会眼睛不好用。唐大夫告诉说，每周都有眼科医生进行眼底检查，如果早产儿有视网膜病的情况，必要时会安排手术，目前小雨情况不错。但是小雨的听力筛查左耳朵没有通过，需要以后到医院复查。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">医院还安排了家长学习班，由经验丰富的儿科教授讲授如何护理早产儿，如何随诊，如何喂奶，小雨的爸爸妈妈每次都认真地做着笔记。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;</span></p>\n<p style=\"line-height: 200%;\"><strong><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">小雨终于会自己吃奶了</span></strong></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">到了</span><span style=\"font-size: 19px; line-height: 200%;\">3</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">个月，小雨的体重终于长到了</span><span style=\"font-size: 19px; line-height: 200%;\">2000g</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">，自己也能用嘴慢慢吃奶了。妈妈接到了通知出院的电话。整整</span><span style=\"font-size: 19px; line-height: 200%;\">3</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">个月，她终于见到了无比思念的宝宝，她黑红黑红的，皮肤有些皱皱巴巴，小嘴嘟嘟的。虽然已是三个月大的宝宝，可是看上去还是那么瘦，那么小，妈妈有些不敢抱她。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">儿科医生贴心地为母女俩安排了母婴同室，一方面培养亲子感情，一方面在医护人员的帮助下，让妈妈尽快实操上手。这一朵医患双方共同呵护的花朵，可容不得半点闪失啊！</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">出院后，妈妈严格按照医生的要求带宝宝进行随访。眼科医生看了以后说，以后可以不用看了，眼睛没有问题。两周后随访，听力筛查也双侧通过了。小雨妈妈心里乐开了花。她定期记录宝宝的体重、头围、细小动作能力，每天按照医院传授的早产儿科学喂养方法，为宝宝做操按摩，让宝宝游泳。慢慢的宝宝会抬头了，会坐起来了，会叫爸爸妈妈了，会自己独立走路了！最细微的改变都会在心中荡漾成巨大的幸福光环，只有他们自己知道这份微小的幸福多么来之不易。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">每年的六一儿童节，他们都会带着小雨参加北京协和医院的早产儿联谊会，艰辛的过程需要鼓励，幸福的喜悦更需要分享，妈妈为小雨报上了节目《隐形的翅膀》。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">&ldquo;我终于翱翔，用心凝望不害怕，哪里会有风，就飞多远吧&hellip;&hellip;&rdquo;小雨的演唱打动了在场的所有医护人员&hellip;&hellip;</span></p>\n<p>&nbsp;</p>","barId":"1708","topicTypeId":"3","topicThemeId":"1022","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1974,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1498393528958,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1498393528958,"metaSearch":null,"rn":null},"userAllInfo":{"id":null,"isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":null,"password":null,"level":0,"nickName":null,"realName":null,"signName":null,"head":null,"phone":null,"mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":0,"userType":0,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":0,"provinceId":null,"cityId":null,"userLevel":0,"modifyNameCount":0,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"forumUserActiveInfo":{"id":"b1ba5254dfad11e6a61c00163e04584d","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":1705892489293,"updateBy":"b1a5ca4ddfad11e6a61c00163e04584d","updateName":"小海螺","userId":"b1a5ca4ddfad11e6a61c00163e04584d","topicCount":2201,"replayCount":900,"favorteCount":0,"beFavorteCount":0,"creamCount":2,"focusCount":1,"fansCount":4,"integralCount":2357,"foodCouponCount":0,"lastLoginTime":0,"lastLoginIp":null,"downloadCount":0,"uploadCount":0},"newPass":null,"focusBar":null,"counter":null,"forumUserIdentificateDto":null},"theme":{"id":"1022","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"topicTypeId":"3","topicTypeName":"其他","themeName":"家庭护理","barType":"101","schemaName":2,"reward":0},"page":1,"favorties":true,"isSelf":false,"order":"asc"}