在早产婴儿的非侵入性与侵入性呼吸支
Brett J Manley1, Emily Cripps2, Peter A Dargaville3
1Neonatal Services and Newborn Research, The Royal Women's Hospital, Melbourne, Australia; Department of Obstetrics, Gynecology and Newborn Health, The University of Melbourne, Melbourne, Australia; Murdoch Children's Research Institute, Melbourne, Australia.
Seminars in perinatology
|April 3, 2024
概括
对于早产婴儿,非侵入性呼吸辅助,如持续正气道压力 (CPAP),是首选的,以减少肺损伤和支气管肺功能失调. 不那么侵入性地施加表面活性剂也可以最大限度地减少对机械通风的需求.
科学领域:
- 新生儿医学 新生儿医学
- 呼吸系统生理学 呼吸系统生理学
- 儿科肺病学 儿科肺病学
背景情况:
- 在早产婴儿中,呼吸系统衰竭很常见,随着妊娠年龄的降低而增加.
- 对于新生儿,存在各种非侵入性和侵入性呼吸支策略.
结论:
- 非侵入性呼吸辅助,包括CPAP和不那么侵入性表面活性剂的输送,对于早产婴儿的肺部健康至关重要.
- 减少机械通风暴露对脆弱的早产肺部有持久的好处.
- 需要对极度早产婴儿 (<25周妊娠期) 的早期非侵入性支持进行进一步的研究.
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