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评估和管理脑瘫患儿的肺部疾病和睡眠呼吸障碍。

Assessing and managing lung disease and sleep disordered breathing in children with cerebral palsy.

作者信息

Fitzgerald Dominic A, Follett Jennifer, Van Asperen Peter P

机构信息

Department of Respiratory Medicine, University of Sydney, New South Wales, Australia.

出版信息

Paediatr Respir Rev. 2009 Mar;10(1):18-24. doi: 10.1016/j.prrv.2008.10.003. Epub 2009 Jan 23.

DOI:10.1016/j.prrv.2008.10.003
PMID:19203740
Abstract

The major morbidity and mortality associated with cerebral palsy (CP) relates to respiratory compromise. This manifests through repeated pulmonary aspiration, airway colonization with pathogenic bacteria, the evolution of bronchiectasis and sleep disordered breathing. An accurate assessment involving a multidisciplinary approach and relatively simple interventions for these conditions can lead to significant improvements in the quality of life of children with CP as well as their parents and carers. This review highlights the more common problems and potential therapies with regard to suppurative lung disease and sleep disordered breathing in children with CP.

摘要

与脑瘫(CP)相关的主要发病和死亡原因与呼吸功能不全有关。这表现为反复的肺误吸、气道被病原菌定植、支气管扩张的进展以及睡眠呼吸障碍。对这些情况进行涉及多学科方法的准确评估和相对简单的干预措施,可以显著改善脑瘫患儿及其父母和照料者的生活质量。本综述重点介绍了脑瘫患儿化脓性肺部疾病和睡眠呼吸障碍方面较常见的问题及潜在治疗方法。

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