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转型经济体中的早产儿视网膜病变1区:一则警示

Zone 1 retinopathy of prematurity in a transitional economy: a cautionary note.

作者信息

Carden Susan M, Lan Luu Ngoc, Huynh Tess

机构信息

Department of Ophthalmology, Royal Children's Hospital, University of Melbourne, Australia.

出版信息

Am J Ophthalmol. 2006 Jun;141(6):1128-9. doi: 10.1016/j.ajo.2006.01.022.

DOI:10.1016/j.ajo.2006.01.022
PMID:16765684
Abstract

PURPOSE

To describe three low risk infants in whom severe retinopathy of prematurity developed.

DESIGN

A prospective, observational case series.

METHODS

setting: National Hospital of Pediatrics, Hanoi, Vietnam. study population: Premature infants in the neonatal ward. observation procedure: Eye examinations.

RESULTS

Severe retinopathy of prematurity occurred in three infants. All had zone 1 disease and other unusually severe findings, such as neovascularization of the disk. These infants would not be at risk for the development of such severe retinopathy of prematurity in countries with a developed economy.

CONCLUSIONS

Unusual characteristics of retinopathy of prematurity may be occurring in countries with transitional economies. Screening programs should be implemented and should take into consideration the possibility that retinopathy of prematurity may occur in infants who fall outside the screening guidelines that are used in the developed world.

摘要

目的

描述3例发生严重早产儿视网膜病变的低风险婴儿。

设计

前瞻性观察病例系列。

方法

地点:越南河内国家儿科医院。研究对象:新生儿病房的早产儿。观察程序:眼部检查。

结果

3例婴儿发生严重早产儿视网膜病变。所有患儿均为1区病变且有其他异常严重表现,如视盘新生血管形成。在经济发达的国家,这些婴儿不会有发生如此严重早产儿视网膜病变的风险。

结论

经济转型国家可能会出现早产儿视网膜病变的异常特征。应实施筛查项目,并应考虑到早产儿视网膜病变可能发生在不符合发达国家所用筛查指南的婴儿中的可能性。

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