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Klin Padiatr 2014; 226(01): 29-37
DOI: 10.1055/s-0033-1361104
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© Georg Thieme Verlag KG Stuttgart · New York

Behandlung der neonatalen Asphyxie unter besonderer Berücksichtigung der therapeutischen Hypothermie

Treatment of Neonatal Asphyxia with a Special Focus on Therapeutic Hypothermia
A. W. Flemmer
1   Neonatologie der Kinderklinik am Perinatalzentrum der Ludwig-Maximilians-Universität München
,
R. F. Maier
2   Klinik für Kinder- und Jugendmedizin Marburg, Universitätsklinikum Gießen und Marburg
,
H. Hummler
3   Sektion Neonatologie und Pädiatrische Intensivmedizin, Universitätsklinikum Ulm
› Author Affiliations
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Publication History

Publication Date:
16 January 2014 (online)

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Zusammenfassung

Die Behandlung von Neugeborenen nach neonataler Asphyxie hat in den vergangenen Jahren eine Vielzahl von neuen Entwicklungen erfahren. Ein wesentlicher Meilenstein waren dabei die positiven Ergebnisse verschiedener Studien zur prophylaktischen Behandlung der hypoxisch-ischämischen Enzephalopathie mit Hilfe einer moderaten Kühlung des Kindes bzw. seines Kopfes. In dieser Arbeit wurde versucht, mit einer konsentierten Leitlinie eine Hilfestellung in der Therapieentscheidung für betroffene Kinder zu geben und so zu einer Homogenisierung der Behandlungsstrategien im deutschsprachigen Raum beizutragen.

Abstract

In recent years the treatment of newborns for neonatal asphyxia has experienced a lot of new developments. A major milestone were the positive results of various trials for prophylactic treatment of hypoxic-ischemic encephalopathy by moderate cooling of the child or of his head. With this paper we attempt to provide a consented guideline to aid in the treatment decision for affected newborns and thus achieve a more homogeneous treatment strategy throughout Germany.

Schlüsselwörter

neonatale Asphyxie - Behandlung - Hypothermie - hypoxisch-ischämische Enzephalopathie

Key words

neonatal asphyxia - treatment - hypothermia - hypoxic ischemic encephalopathy
 

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