Shaw N J, Kotecha Sailesh
Liverpool Women's Hospital, Crown Street, Liverpool L8 7SS, United Kingdom.
Early Hum Dev. 2005 Feb;81(2):165-70. doi: 10.1016/j.earlhumdev.2004.12.008. Epub 2005 Jan 16.
The management of chronic lung disease of prematurity (CLD) is challenging for the neonatologist. There are few well-powered randomised controlled trials to inform practice and longer-term outcomes of some interventions have only recently been identified (for example the possible association between the use of corticosteroids and neurodevelopmental abnormalities). As a result, many neonatologists rely on empirical management derived from the evidence available. We describe, in this article, our own approach to the management of CLD, and acknowledge that practice may vary between units within the United Kingdom.
对于新生儿科医生而言，早产儿慢性肺病（CLD）的管理颇具挑战性。几乎没有强有力的随机对照试验可为临床实践提供依据，而且一些干预措施的长期结果直到最近才被发现（例如使用皮质类固醇与神经发育异常之间可能存在的关联）。因此，许多新生儿科医生依赖于现有证据得出的经验性管理方法。在本文中，我们描述了自己对CLD的管理方法，并承认英国各医疗单位之间的做法可能存在差异。
