| Blood Pressure Change in the Neonates during Abdominal Examination. |
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Young Sun Kim1, Yoon Deok Kim1, Jung Hwan Choi1, Chong Ku Yun1, Son Moon Shin2 |
1Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea
2Department of Pediatries, College of Medicine, Young Nam University |
| 정상 신생아에서 복부 촉진시 혈압의 변화에 관한 연구 |
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김영선1, 김윤덕1, 최중환1, 윤종구1, 신손문2 |
1서울대학교 의과대학 소아과학교실
2영남대학교 의과대학 소아과학교실 |
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| Abstract |
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During abdominal palpation in the 50 full term neonates, blood pressure changes were measured by
automatic oscillometric blood pressure monitor. The systolic blood pressure value at resting stage
was 61.2 ±2.9 mmHg, and during the liver, the left kidney and the bladder palpation, it was signifi-
cantly elevated to 67.2±4.7 mmHg, 68.1 ±4.8 mmHg, 69.0±4.6 mmHg respectively (P< 0.005). The
diastoloic pressure value at resting stage was 35.2 ±3.1 mmHg, and during the liver, the left kidney
and the bladder palpation, it was significantly elevated to 37.8±3.8 mmHg, 39.1 ±3.9 mmHg, 39.6±3.8 mmHg respectively (P< 0.005). Elevation of blood pressure during palpation of the viscera (liver, kidney, bladder) may be secondary to increased intra-abdominal pressure, and may be influenced by increased venous return and
intrathoracic pressure. The fact that autoregulation of cerebral blood flow is lacking in the premature
infants with birth asphyxia or idiopathic respiratory distress syndrome will render the capillary walls
more directly exposed to an eventual increase in arterial blood pressure. So maintenance of normal
blood pressure is very important, especially in the critically ill neonates. And abdominal palpation
must be performed more cautiously.
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| Key Words:
Newborn, Blood Pressure, Abdominal Examination
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