Nievas F Fernandez, Chernick V
Section of Pediatric Respirology, Winnipeg Children's Hospital, MB, Canada.
Clin Pediatr (Phila). 2002 Mar;41(2):77-85. doi: 10.1177/000992280204100202.
This paper is a review of the changes that have occurred over the past 35 years in the clinical and radiologic presentation of bronchopulmonary dysplasia (BPD), now more commonly referred to as chronic lung disease of infancy (CLD). Curent thoughts on etiology are only briefly discussed. The major focus is the management of the patient with CLD by the primary care physician once the patient has been discharged from hospital. Oxygen, diuretic, bronchodilator, antiinflammatory and nutritional therapies are discussed in detail. Finally, current information on long-term prognosis and recommendations for the prevention of RSV and influenza infections are reviewed.
本文回顾了过去35年中支气管肺发育不良(BPD,现更常称为婴儿慢性肺病[CLD])在临床和放射学表现方面所发生的变化。对病因的当前观点仅作简要讨论。主要重点是初级保健医生在患者出院后对CLD患者的管理。详细讨论了氧疗、利尿治疗、支气管扩张剂治疗、抗炎治疗和营养治疗。最后,综述了关于长期预后的当前信息以及预防呼吸道合胞病毒(RSV)和流感感染的建议。