新生儿呼吸窘迫(畸形、遗传或体质疾病除外)

S Lorotte-Namouni (Chef de clinique-assistante des hôpitaux de Paris) , C Clamadieu (Praticien hospitalier) , P.-H Jarreau (Professeur des Universités, praticien hospitalier)
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引用次数: 10

摘要

呼吸系统疾病是新生儿发病和死亡的主要原因之一。其病因主要与出生时不适当的心肺适应和感染有关。最近在这些疾病管理方面的改进大大降低了死亡率。这些改善是由于更好的围产期护理组织,以及产科和儿科的实质性进展,其中产前类固醇、外源性表面活性剂的广泛使用和机械通气的改进。然而,支气管肺发育不良仍然是大多数早产儿预后的主要问题。更好地了解其生理病理可能会带来新的治疗进展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Détresses respiratoires du nouveau-né (en dehors des malformations et des maladies génétiques ou constitutionnelles)

Respiratory disorders are one of the main cause of neonatal morbidity and mortality. Their aetiology is predominantly linked to an inappropriate cardio-respiratory adaptation at birth and to infections. Recent improvements in the management of these disorders diminished dramatically the mortality. These improvements are due to a better perinatal care organization, and to substantial advances in obstetrics and paediatrics, among which a wide use of antenatal steroids, exogenous surfactants and improvements in mechanical ventilation. Nevertheless, bronchopulmonary dysplasia remains a major problem in the outcome of the most preterm infants. A better knowledge of its physiopathology may open new therapeutic advances.

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