在微小的婴儿中,美阻断早产 - - 发展国际共识的方向
Graeme J Pitcher1, Akio Kubota2, Noelle E Younge3
1University of Iowa Stead Family Children's Hospital, Iowa City, IA, USA. graeme-pitcher@uiowa.edu.
概括
早产的美阻塞是极度早产新生儿中越来越多地被认可的疾病. 识别这种独特的临床表型对于适当的管理和改善结果至关重要.
科学领域:
- 新生儿医学 新生儿医学
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
背景情况:
- 在极低妊娠年龄的新生儿中,肠道穿孔导致高死亡率和发病率.
- 常见的表型包括自发性肠道穿孔和穿孔性死性肠球炎.
- 早产的美阻塞是一种新兴的,独特的临床实体.
研究的目的:
- 总结现有的关于早产的阻塞的文献.
- 增强国际对这种疾病的认可和理解.
- 为了突出其与其他新生儿肠道病理的区别.
主要方法:
- 对描述早产婴儿中美阻塞的研究进行文献综述.
- 临床特征和结果的分析.
- 与其他形式的新生儿肠道穿孔的比较.
主要成果:
- 在最小和最不成熟的新生儿中,越来越多地发现了美阻塞.
- 缺乏标准化的命名法,阻碍了进步.
- 识别美阻塞是适当的医疗或手术干预的关键.
结论:
- 梅科尼阻断早产是一种独特的临床现象,需要得到特定的认可.
- 为了更好的预防和治疗策略,需要更好的理解和标准化的命名法.
- 从其他肠道病理学区分 meconium 阻塞对于最佳的患者管理至关重要.
更多相关视频
06:15Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
51.9K
05:50International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
Published on: March 12, 2020
14.6K
相关概念视频
CRISPR
Genome editing technologies allow scientists to modify an organism’s DNA via the addition, removal, or rearrangement of genetic material at specific genomic locations. These types of techniques could potentially be used to cure genetic disorders such as hemophilia and sickle cell anemia. One popular and widely used DNA-editing research tool that could lead to safe and effective cures for genetic disorders is the CRISPR-Cas9 system. CRISPR-Cas9 stands for Clustered Regularly Interspaced Short...
Teratogenicity
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
Infertility in Females
Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of endometrial...
Endometriosis, a condition characterized by abnormal growth of endometrial...
Intrauterine Drug Delivery Systems
Controlled-release systems for intravaginal and intrauterine drug delivery have been developed primarily for the administration of contraceptive steroid hormones. These delivery routes circumvent first-pass hepatic metabolism, thereby enhancing bioavailability and allowing for reduced systemic dosages compared to oral administration. Such approaches contribute to improved therapeutic efficacy and patient compliance, particularly in long-term contraceptive regimens.Intravaginal Drug Delivery...
Development of Human Microbiota
The human microbiota begins developing at birth and undergoes continual change as we age. Infancy marks a critical period of microbial sensitivity, offering a “window of opportunity” during which beneficial microbes help mature the immune system. By age three, children typically develop a more stable and diverse microbial community. Newborns acquire microbes from their immediate environment; vaginal delivery favors maternal vaginal microbes, while cesarean births favor microbes from the skin...
Development of the Oral Microbiota
The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
