Tapia J L, Sánchez I, Lara X, Aguayo G
Unidad de Neonatología, Departamento de Pediatría, Pontificia Universidad Católica de Chile.
Rev Chil Pediatr. 1990 May-Jun;61(3):130-3.
The incidence of bronchopulmonary dysplasia (BPD) was retrospectively studied in all ventilated newborns at a neonatal intensive care unit of a university based hospital at Santiago, Chile along a 5 years period (1983-1987). BPD incidence among the whole sample of newborn infants requiring artificial ventilation was analysed according to birth weight (BW) and compared with that of newborns surviving after 28 days of life. The possible association of BPD with hyaline membrane disease (HMD), ductus arteriosus (DA) and pulmonary air leak (PAL) was studied. The total number of ventilated newborns was 200, incidence of BPD was 9.5% (19/200) and lethality for BPD was 5.2% (1/19). The incidence of BPD increased progressively with decreasing BW, reaching 37.5% in infants less than 1,000 g (p less than 0.001 chi 2). Among 28 day survivors incidence of BPD in the same BW group increased to 75% (p less than 0.05). These findings support the idea that the incidence of BPD increases with improved survival of low birth weight infants. A positive association of BPD with DA and PAL was seen with 10/19 versus 33/181 incidence for DA (p less than 0.01) and 6/19 versus 16/181 for PAL (p less than 0.01) among patients with and those without BPD respectively, but not with HMD.
在智利圣地亚哥一家大学附属医院的新生儿重症监护病房,对5年期间(1983 - 1987年)所有接受机械通气的新生儿进行了支气管肺发育不良(BPD)发病率的回顾性研究。根据出生体重(BW)分析了需要人工通气的新生儿全样本中的BPD发病率,并与出生后存活28天的新生儿的发病率进行比较。研究了BPD与透明膜病(HMD)、动脉导管未闭(DA)和肺漏气(PAL)之间可能的关联。接受机械通气的新生儿总数为200例,BPD发病率为9.5%(19/200),BPD致死率为5.2%(1/19)。BPD发病率随出生体重降低而逐渐升高,在体重小于1000g的婴儿中达到37.5%(p<0.001,卡方检验)。在出生后存活28天的婴儿中,相同体重组的BPD发病率升至75%(p<0.05)。这些发现支持了BPD发病率随低出生体重婴儿存活率提高而增加这一观点。分别在有和没有BPD的患者中观察到BPD与DA和PAL呈正相关,DA发病率分别为10/19和33/181(p<0.01),PAL发病率分别为6/19和16/181(p<0.01),但与HMD无关。