中国实用儿科杂志

• • 上一篇    下一篇

早产儿支气管肺发育不良防治新理念

杜立中   

  1. 作者单位:浙江大学医学院附属儿童医院,浙江 杭州 310003
  • 出版日期:2014-01-06 发布日期:2014-01-04

New strategies for the prevention and treatment of bronchopulmonary dysplasia in premature infants. 

DU Li-zhong.   

  1. The Children’s Hospital of Zhejiang University School of Medicine,Hangzhou 310003,China
  • Online:2014-01-06 Published:2014-01-04

摘要:

尽管新生儿医学在呼吸领域已取得显著进展,但支气管肺发育不良(BPD)在早产儿的发病率仍相当高。文章重点探讨近期研究对于无创通气技术作为极早早产儿的一种治疗模式的重要性的评估和对BPD发生率的影响。同时也探讨了与早产儿肺转归相关的其他治疗策略包括允许性高碳酸血症及糖皮质激素、支气管扩张剂、咖啡因、吸入一氧化氮的应用。

关键词: 支气管肺发育不良, 无创通气技术, 治疗策略

Abstract:

Although significant advances in respiratory care have been made in neonatal medicine, bronchopulmonary dysplasia (BPD) remains the most common serious pulmonary morbidity in premature infants. This review focuses on recent studies that evaluate the use of noninvasive ventilation support as essentially a mode for extremely preterm infants and its impact on the development of BPD. The other therapeutic strategies for preterm infant in relation to pulmonary outcomes including the use of caffeine, corticosteroids, bronchodilator, inhaled nitric oxide and permissive hypercapnia are also discussed.

Key words: bronchopulmonary dysplasia(BPD), noninvasive ventilation, therapeutic strategies

中图分类号: