Miller M J, Martin R J
Department of Pediatrics, Case Western Reserve University, Cleveland, Ohio.
Clin Perinatol. 1992 Dec;19(4):789-808.
Apnea is a common, treatable disorder of respiration in premature infants, which usually resolves over time. The definition and classification of apnea are discussed, as well as its epidemiology and natural history. The pathophysiology of apnea is considered in detail, including the chemosensory and reflex input that modulates respiration and the involvement of upper airway control in the etiology of obstructive apnea. Finally, diagnosis and therapy are reviewed, and the relationship of apnea of prematurity to the underlying disorder in sudden infant death syndrome is considered.
呼吸暂停是早产儿常见的、可治疗的呼吸障碍,通常会随着时间推移而缓解。文中讨论了呼吸暂停的定义和分类,以及其流行病学和自然史。详细探讨了呼吸暂停的病理生理学,包括调节呼吸的化学感受和反射输入,以及上呼吸道控制在阻塞性呼吸暂停病因中的作用。最后,回顾了诊断和治疗方法,并考虑了早产呼吸暂停与婴儿猝死综合征潜在疾病之间的关系。