新生児の持続的な機械呼吸器の集団ベースの評価
1Department of Paediatrics, King's Mill Hospital, Sutton-in-Ashfield, Nottinghamshire.
Lancet (London, England)
|November 28, 1987
まとめ
28人の乳児に持続的な助呼吸器が使用され,10人の乳児は肺胸炎などの合併症を経験しました. 長期的な結果は,一部の生存者の障害を明らかにし,新生児の機械呼吸器のリスクを強調しました.
科学分野:
- 新生児の介護について
- 小児呼吸器医学について
- 集中治療室では,重篤な介護を受けています.
背景:
- 呼吸器不全は,新生児の重大な症状である.
- 機械的な換気は命を救う介入ですが,リスクもあります.
- 助呼吸器の長期的な影響を理解することは,新生児のアウトカムにとって極めて重要です.
研究 の 目的:
- 定義された新生児集団における持続的な助呼吸器の範囲と影響を調査する.
- 呼吸不全の発生率と機械換気の使用を評価する.
- 長期にわたる機械呼吸器を必要とする乳児の短期的および長期的アウトカムを評価する.
主な方法:
- 地理的に定義された11,061人の出生について遡及的なコホート研究.
- 8時間以上の助呼吸器を必要とする乳児の分析.
- 生存者の学校の年齢におけるフォローアップ評価.
主要な成果:
- 28人の乳児 (0.25%) が8時間以上の助呼吸器を受けた.
- 10人の乳児 (36%) が肺胸炎を発症し,9人が死亡または障害となった.
- 学校に通う年齢の生存者14人のうち,4人は残疾が持続しており,10人のうち5人は正常であるとみなされ,緊急換気装置を持っていた.
結論:
- 新生児の持続的な助呼吸は,著しい罹病率と死亡率と関連しています.
- 肺胸炎などの合併症は頻繁かつ重症である.
- 長期にわたる神経発達の結果は,長期にわたる機械呼吸器の生存者における注意深いモニタリングを必要とする.
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