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早产儿呼吸窘迫综合征的早期预防和治疗
引用本文:叶晓彤,杨传忠. 早产儿呼吸窘迫综合征的早期预防和治疗[J]. 中华产科急救电子杂志, 2018, 7(4): 225-229. DOI: 10.3877/cma.j.issn.2095-3259.2018.04.008
作者姓名:叶晓彤  杨传忠
作者单位:1. 518028 深圳,南方医科大学深圳妇幼保健院新生儿科
基金项目:深圳市"医疗卫生三名工程"资助项目(SZSM201612045)
摘    要:
早产儿呼吸窘迫综合征(neonatal respiratory distress syndrome, RDS)通常发生于胎龄较小的极低或超低出生体重儿,主要原因是肺表面活性物质合成少和肺发育不成熟。目前外源性肺表面活性物质的替代治疗是防治早产儿RDS的主要手段,此外,产前预防、产房复苏策略以及出生后早期呼吸支持治疗等综合措施也对该病的预防和治疗起着极为重要的作用。本文主要对早产儿RDS的预防及治疗措施进行讨论。

关 键 词:呼吸窘迫综合征  新生儿  婴儿  早产  呼吸  人工  糖皮质激素类  
收稿时间:2018-08-08

Early prevention and treatment of respiratory distress syndrome in premature infants
Xiaotong Ye,Chuanzhong Yang. Early prevention and treatment of respiratory distress syndrome in premature infants[J]. Chinese Journal of Obstetric Emergency (Electronic Edition), 2018, 7(4): 225-229. DOI: 10.3877/cma.j.issn.2095-3259.2018.04.008
Authors:Xiaotong Ye  Chuanzhong Yang
Abstract:
Neonatal respiratory distress syndrome (RDS) usually occurs in very low or ultra-low birth weight infants with small gestational age, mainly due to low synthesis of pulmonary substances and immature lung development. At present, the substitution therapy of exogenous pulmonary surfactant is the main method to prevent and treat premature infants with RDS. In addition, prenatal prevention, resuscitation strategy and early postnatal respiratory support therapy also play an important role in the prevention and treatment of the disease. This paper reviews the prevention and treatment of respiratory distress syndrome in premature infants.
Keywords:Respiratory distress syndrome   newborn  Infant   premature  Respiration   artificial  Glucocorticoids  
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