Children's Hospital and Brigham & Women's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA.
Semin Fetal Neonatal Med. 2009 Dec;14(6):358-66. doi: 10.1016/j.siny.2009.08.007. Epub 2009 Sep 26.
First described more than 40 years ago, bronchopulmonary dysplasia (BPD) remains one of the most serious and vexing challenges in the care of very preterm infants. Affecting approximately one-quarter of infants born <1500g birth weight, BPD is associated with prolonged neonatal intensive care unit hospitalization, greater risk of neonatal and post-neonatal mortality and a host of associated medical and neurodevelopmental sequelae. This seminar focuses on the epidemiology and definition of BPD as well as the current evidence pertaining to a number of potential preventive treatments for BPD: non-invasive respiratory support technologies, inhaled nitric oxide, vitamin A, and caffeine.
早在 40 多年前就首次描述过的支气管肺发育不良(BPD)仍然是极低出生体重儿护理中最严重和最棘手的挑战之一。大约四分之一出生体重<1500g 的婴儿会受到影响,BPD 与新生儿重症监护病房住院时间延长、新生儿和围生期死亡率增加以及一系列相关的医疗和神经发育后遗症有关。本研讨会重点介绍了 BPD 的流行病学和定义,以及目前与多种潜在的 BPD 预防治疗相关的证据:无创呼吸支持技术、吸入一氧化氮、维生素 A 和咖啡因。