Cusson R M
NAACOGS Clin Issu Perinat Womens Health Nurs. 1992;3(1):62-74.
The purpose of this article is to review innovations in cardiopulmonary care of the high-risk, low-birth-weight infant. Recommendations are based on physiologic principles and a review of the research literature. The major problem experienced by the low-birth-weight neonate is respiratory distress syndrome (RDS); traditional treatment is discussed. Strategies for prevention, including antenatal corticosteroid administration and surfactant replacement, are described. Alternative methods of ventilatory support, including high-frequency ventilation and extracorporeal membrane oxygenation, are detailed. Finally, treatment of bronchopulmonary dysplasia (BPD) and recommendations for prevention are delineated.
本文旨在综述高危低出生体重儿心肺护理方面的创新。建议基于生理学原理和对研究文献的回顾。低出生体重新生儿面临的主要问题是呼吸窘迫综合征（RDS）；文中讨论了传统治疗方法。描述了预防策略，包括产前使用糖皮质激素和表面活性剂替代疗法。详细介绍了通气支持的替代方法，包括高频通气和体外膜肺氧合。最后，阐述了支气管肺发育不良（BPD）的治疗方法及预防建议。
