El-Khuffash Afif, Molloy Eleanor J
Department of Neonatology, National Maternity Hospital, Holles St, Dublin 2, Ireland.
Arch Dis Child Fetal Neonatal Ed. 2007 Jul;92(4):F320-4. doi: 10.1136/adc.2006.106039.
B-type natriuretic peptide (BNP) and N-terminal-pro-BNP (NTpBNP) have a major role in screening and diagnosis of cardiac disease and monitoring of the treatment response in children and adults. This review discusses the evidence underpinning the potential benefits of these natriuretic peptides in neonatology. They may serve as a useful adjunct to echocardiography in the diagnosis of patent ductus arteriosus and its response to treatment and the diagnosis of persistent pulmonary hypertension of the newborn. However, more work is needed to explore the possible roles of BNP/NTpBNP in the management of sepsis and monitoring of cardiac performance in neonates.
B型利钠肽(BNP)和N末端B型利钠肽原(NT-proBNP)在儿童和成人心脏病的筛查、诊断以及治疗反应监测中发挥着重要作用。本综述讨论了这些利钠肽在新生儿科潜在益处的相关证据。它们可作为超声心动图的有益辅助手段,用于诊断动脉导管未闭及其治疗反应,以及诊断新生儿持续性肺动脉高压。然而,需要开展更多工作来探索BNP/NT-proBNP在新生儿脓毒症管理和心脏功能监测中的可能作用。