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Scleroderma also known as neonatal neonatal subcutaneous fat sclerosis, neonatal cold injury syndrome. Typical clinical performance and eat milk and immobility, and the temperature did not rise tough skin and subcutaneous emphysema. Chinese medicine is a "cold tire", "Hanjue", "five of them," and so on.
Etiopathologic
In Chinese medicine for the disease of the main factors for children with multiple congenital lack of qi and blood are not fully developed. Yuanyang slump, followed after surely improper Correlation Between Pathogenic Cold feelings, the cold season in the north of the high incidence of the disease.
Newborn yet to be fully concealed, or serve not long after birth if deficiencies encountered a cold climate, improper care. Correlation Between Pathogenic Cold result in muscle injury list for the winter Yinxie straight stroke, hurt spleen and kidney yang, Yang Deficiency not true that some of the best skin limbs. Correlation Between Pathogenic Cold t a physical place, the blood moving sluggish, hundred and forty, Qi and blood disorders, skin swollen hard surface of the skin colors of purple, green lip and acromegaly. Skin cold, chilled and emphysema.
Western medicine is not entirely clear that the pathogenesis of this disease from the cold, premature. infection and other causes suffocation. Newborns, especially premature infants temperature centers incomplete, the temperature easily with the ambient temperature fluctuations : Newborn relatively large surface area, less subcutaneous fat, the skin is thinner and more vascular distribution and easier to heat : Saturated fatty acids relative newborns subcutaneous fat, high melting point and low temperature easy cure, Newborn thermal mainly brown fat, and in need of oxygen, oxygen, cold, acid poisoning and other factors exist, vulnerable to inhibit the process of heat production, such premature infants less than fat storage.
Anatomical and physiological characteristics of newborns, the incidence of neonatal scleredema basis. In addition, cold, insufficient intake of infection, suffocation and acid poisoning is a major cause of the disease caused.
Treatment
(1) general rehabilitation therapy
Rewarming is the treatment of neonatal scleredema low temperature of the important measures that advocates more rapid rewarming law.
1. Rewarming
(1) : mild in children can slow rewarming, warm cloth for carrying baby on back home parcels were first used it natural temperature 24-25 กใ C room temperature. Question the temperature rose to 35 กใ C (plus or 2:00 Reshuidai home warm box. Since temperature of 26 กใ C warming box, 30 4-6 hours gradually adjust to a 32 กใ C, the temperature of about 1 กใ C per hour raise box. Avoid heated up too fast Otherwise surface temperatures rise too fast and peripheral vascular bed, unable to meet myocardial function, resulting in insufficient blood supply offal. central nervous system may lead to ischemia, lack of oxygen or blood Yu pulmonary bleeding.
(2) light, medium (temperature, "30 กใ C) : Children under preheated to 30 กใ C warming Box 30"34"C box for temperature regulation, by reducing heat so that children with elevated temperature. strive to restore a normal temperature for 6-12 hours.
(3) severe (body temperature of the "30 กใ C) children; temperature 1-2 กใ C higher than the first children begin rewarming temperature warming boxes, cartons per hour raise the temperature o. 1995 to 1999 กใ C (over 34 กใ C) in 12-24 hours to restore normal body temperature, moderate temperature and keep warm in the box.
(4) boiling water bath method : Children will be placed 39"42 '' C constant temperature water bath inside the room temperature (24 กใ C or higher). Umbilical disinfected gauze covered with plaster above fixed waterproof penetrated his head above the water, legs, torso immersed in water, every 15 minutes, every 2nd mouth until hard swelling disappear. Microwave and far-infrared children also enable rapid rewarming.
2. Feeding
Children guarantee supply heat to breastfeeding and oral rehydration, the body temperature of heat production complex. Not suck, or use nasal feeding feeding and intravenous rehydration dropper.
(B) Type and Chinese medicine treatment of
1. Kidney spleen, hundred and forty
Systemic cold and looking ahead Jiangwo less action and fell to sleep. Crying low suckling unable local hard skin, edema and shiny. Hidden by the entrant. Sclerema broader fell short white tongue, moss and white, fingerprints or subsidence won short lag significantly.
[Rule] warming look askance kidney Qi Huoxue.
[Drugs] Shen Fu Tang Zhen Wu Tang : 3 grams of ginseng, Fuzi 4 grams Astragalus grams, 3 grams Guizhi, Poria White tricks, safflower, Chishao, Angelica, five grams of Chuanxiong. Very swollen, piss off, plus Zhuling, Zexie, akebia, Plantago; Yin of underemployed, Jiamai winter Schisandra; cough sputum or feces rare pond, with Decoction.
2. Record gas stagnate, bleeding block
Looking dark purple, less body temperature, as cold extremities, buttocks edema limited to the leg, arm, cheek and other departments. easy skin thickness, color dishes, bruising, or swelling as frostbite. Serious bleeding from his mouth and nose, lip color dark red, dark purple fingerprint.
[Rule] Yiqiwenyang blood stasis.
Prescriptions Dangguisini Decoction :] [3 grams of ginseng, angelica, Chishao, the Guizhi
This article was posted on 2007-02-27
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