Immediate respiratory management of the preterm infant

被引:15
作者
Sinha, Sunil K. [1 ,2 ]
Gupta, Samir [2 ]
Donn, Steven M. [3 ]
机构
[1] Univ Durham, Durham DH1 3HP, England
[2] James Cook Univ Hosp, Middlesbrough TS4 3BW, Cleveland, England
[3] Univ Michigan Hlth Syst, CS Mott Childrens Hosp, Dept Pediat, Div Neonatal Perinatal Med, Ann Arbor, MI 48103 USA
关键词
chronic lung disease; continuous positive airway pressure (CPAP); prematurity; respiratory distress syndrome (RDS); surfactant;
D O I
10.1016/j.siny.2007.09.006
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Infants born prematurely have underdeveloped lungs characterised by both morphological and biochemical abnormalities. Respiratory distress syndrome (RDS) is the leading cause of morbidity and mortality in this population. Both surfactant replacement therapy with mechanical ventilation and continuous positive airway pressure (CPAP) have been shown to be of benefit. However, considerable controversy exists about how best to use these therapies. This paper will review the pathophysiology of RDS and the evidence supporting each of these treatments. (C) 2007 Elsevier Ltd. All rights reserved.
引用
收藏
页码:24 / 29
页数:6
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