Tuesday, June 10, 2008

Newborns to the differential diagnosis of hyperlipidemia

With the newborn within one week after birth due to other reasons for the bleeding of identification: (1) gastrointestinal bleeding: should swallow syndrome, congenital peptic ulcers, gastrointestinal infection and deformities, such as identification. Pharyngeal syndrome is the birth mother, Yan Xia, the production of blood, blood, such as amniotic fluid, the Health and occurred shortly after vomiting, a brown vomit, may have blood in the stool, but little blood, gastric lavage after antiemetic , Non-clotting mechanisms obstacles. In addition, the base degeneration test can be used to identify maternal and infant blood, blood children with fetal hemoglobin (strong anti-alkaline), the maternal blood containing adult hemoglobin (anti-alkaline weak). From vomit diluted with water, rotating from suspension after five, plus 1% sodium hydroxide 1, 1 to 2 minutes after the observation, brown for maternal, infant red for the blood. Early congenital peptic ulcer and gastric perforation, necrotizing enterocolitis at the same time gastric involvement, may have vomited up blood, blood in the stool; labor in the suffocation caused by hypoxia acute stress ulcer, a lot can vomit blood, blood in the stool, these diseases are No blood coagulation mechanisms obstacles. (2)-traumatic bleeding: the birth occurred in the first open position, after health, but with this disease often causal relationship, or existence, mutual heavier condition. (3) congenital ITP: one week after birth in internal bleeding, but significant reduction in platelets. (4) other congenital or acquired coagulation disorder: ① other congenital lack of clotting factor fibrinogen and congenital deficiency, are life-long disease, through blood transfusion although improved, still relapse, confirmed the need to rely on specific coagulation Inspection, and this is of a temporary, once cured, no recurrence. ② all kinds of infection, scleredema, pulmonary hemorrhage, can disseminated intravascular coagulation caused by bleeding, were acquired in the incidence of bleeding before have there, bleeding occurred rather late, and the disease early in the new-born, natural Bleeding different. (5) Other: hemorrhage such as umbilical cord and should not bear ligation, umbilical granulomas, such as infection or bleeding caused by differential. Vaginal bleeding with fake menstrual identification. Rare hereditary hemorrhagic telangiectasia occurred in the early neonatal bleeding.

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