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用表面活性剂(固尔苏)治疗重症透明膜病。一项合作临床研究。

Treatment of severe hyaline membrane disease with surfactant (Curosurf). A collaborative clinical study.

作者信息

Büky B, Dévai G, Várady E, Rózsavölgyi A, Kovách I, Kovács A, Jancsó G, Waldinger K, Görgényi A, Zsolnai B

机构信息

Second Department of Obstetrics and Gynecology, Semmelweis Medical University, Budapest, Hungary.

出版信息

Acta Paediatr Hung. 1990;30(3-4):351-65.

PMID:2083097
Abstract

We investigated the clinical efficacy of a new surfactant product, Curosurf, isolated from porcine lungs by liquid-gel chromatography. Ten premature newborn infants (birth weight 850-1850 g), all ventilated artificially for severe hyaline membrane disease categorized radiologically as stage III-IV, received a single dose of Curosurf (200 mg/kg) via the tracheal tube. This treatment resulted in a rapid improvement of oxygenation, similar to that observed by other teams collaborating in the study and, in an astonishingly fast resolution of the radiological changes. In comparison with a control group of 8 infants, the surfactant-treated babies also had a lower incidence of acute and chronic complications.

摘要

我们研究了一种通过液-凝胶色谱法从猪肺中分离出的新型表面活性剂产品珂立苏(Curosurf)的临床疗效。10名早产新生儿(出生体重850 - 1850克),均因严重透明膜病接受人工通气,放射学分类为III - IV期,通过气管插管接受了单剂量的珂立苏(200毫克/千克)。这种治疗使氧合迅速改善,类似于参与该研究的其他团队所观察到的情况,并且放射学改变惊人地快速消退。与8名婴儿的对照组相比,接受表面活性剂治疗的婴儿急性和慢性并发症的发生率也较低。

相似文献

1
Treatment of severe hyaline membrane disease with surfactant (Curosurf). A collaborative clinical study.用表面活性剂(固尔苏)治疗重症透明膜病。一项合作临床研究。
Acta Paediatr Hung. 1990;30(3-4):351-65.
2
Radiological analysis of hyaline membrane disease after exogenous surfactant treatment.外源性表面活性剂治疗后透明膜病的放射学分析。
Pediatr Radiol. 1999 Jan;29(1):56-60. doi: 10.1007/s002470050535.
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[Treatment of severe hyaline membrane disease with a single-dose of natural exogenous surfactant of porcine origin. A randomized trial: immediate effects and outcome at 28 days of life].[单剂量猪源性天然外源性表面活性剂治疗严重透明膜病。一项随机试验:出生28天时的即刻效果及转归]
Arch Fr Pediatr. 1990 May;47(5):329-34.
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Exogenous surfactant replacement therapy of hyaline membrane disease in premature infants.
Yonsei Med J. 1989 Dec;30(4):355-66. doi: 10.3349/ymj.1989.30.4.355.
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[Modification of C-reactive protein after instillation of natural exogenous surfactants].
Arch Pediatr. 1997 Jan;4(1):27-31. doi: 10.1016/s0929-693x(97)84301-1.
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[The effect of surfactant therapy on the oxygen treatment of premature infants with HMD].
Akush Ginekol (Sofiia). 1998;37(1):3-5.
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Curosurf surfactant application on preterm babies with respiratory complications-health-economic benefits.珂立苏表面活性物质在伴有呼吸并发症的早产儿中的应用-健康经济效益。
Afr Health Sci. 2024 Mar;24(1):220-227. doi: 10.4314/ahs.v24i1.27.
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[Effects of surfactant administration in neonates with respiratory distress syndrome. II. Radiographic changes].
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[Treatment of hyaline membrane disease in the preterm newborn with exogenous lung surfactant: a controlled study].[外源性肺表面活性物质治疗早产儿透明膜病的对照研究]
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Bovine surfactant (surfactant TA) therapy in immature baboons with hyaline membrane disease.牛肺表面活性物质(表面活性物质TA)治疗未成熟狒狒的透明膜病。
Pediatrics. 1985 Jun;75(6):1132-42.

引用本文的文献

1
Animal derived surfactant extract for treatment of respiratory distress syndrome.用于治疗呼吸窘迫综合征的动物源性表面活性剂提取物
Cochrane Database Syst Rev. 2009 Apr 15(2):CD007836. doi: 10.1002/14651858.CD007836.