唐氏综合征儿童的死亡因妊娠年龄和原因而分
Tomoyuki Shimokaze1, Katsuaki Toyoshima2, Tomoko Saito2
1Department of Neonatology, Kanagawa Children's Medical Center, Yokohama, Kanagawa, Japan. tkaze@hotmail.com.
Pediatric research
|October 29, 2023
概括
患有唐氏综合征 (DS) 的早产婴儿面临高死亡率,特别是那些在妊娠34周之前出生的人. 幸存者经常经历重大的发育挑战,包括脑.
科学领域:
- 新生儿医学 新生儿医学
- 遗传学 是一个遗传学.
- 发育儿科 发育儿科
背景情况:
- 进入新生儿重症监护室 (NICU) 的唐氏综合征 (DS) 的早产婴儿的死亡率很高.
- 了解生存和发育结果对于临床管理和家长咨询至关重要.
研究的目的:
- 为了检查早产婴儿的生存率与DS,直到NICU释放.
- 评估患有DS的早产婴儿的发育预后.
主要方法:
- 27年来住院治疗的416名DS婴儿的回顾性评估.
- 基于妊娠年龄和相关疾病的死亡率分析.
- 在幸存者中评估发育结果,特别是脑.
主要成果:
- 根据妊娠年龄,死亡率有显著差异:40%在<32周,48%在32-33周,9%在34-36周,3%在>36周.
- 不令人放心的胎儿状态与死亡 (84%的死亡) 有着强烈的关联.
- 死亡的主要原因包括支气管肺功能失调 (<32周) 和过渡性异常骨髓形成 (32-36周). 在<34周出生的幸存者中,有32%患有中度/重度脑.
结论:
- 高死亡率和发病率强调了早产婴儿患有DS的关键护理需求.
- 数据对于为治疗决策提供信息和支持患有DS的重病婴儿的家庭至关重要.
- 不令人放心的胎儿状态是剖腹产的关键因素DS婴儿出生<34周,有显著的后释放风险.
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