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低出生体重儿的肺间质肺气肿:存活者的特征

Pulmonary interstitial emphysema in low birth weight infants: characteristics of survivors.

作者信息

Lerman-Sagie T, Davidson S, Wielunsky E

机构信息

Department of Neonatology, Beilinson Medical Center, Petah Tiqva, Sackler School of Medicine, Tel-Aviv University, Israel.

出版信息

Acta Paediatr Hung. 1990;30(3-4):383-9.

PMID:2083100
Abstract

Twenty out of 303 ventilated low birth weight infants, hospitalized in the Beilinson Medical Center's Intensive Care Unit, during the years 1984-1986, developed pulmonary interstitial emphysema. Eighteen infants had very low birth weight (less than 1500 grams) and 17 were less than 30 weeks' gestation. The mean birth weight was 987 +/- 311 and mean gestational age 27.7 +/- 2.5. Eight infants survived the pulmonary disease. There were no significant differences in the neonatal parameters between infants who died or survived. However, the survivors had a significantly lower maximal peak inspiratory pressure and FiO2 on the first day of ventilation. The incidence of pneumothorax and asphyxia was the same in both groups.

摘要

1984年至1986年间,在贝林森医疗中心重症监护病房住院的303名使用呼吸机的低出生体重婴儿中,有20名发生了肺间质肺气肿。18名婴儿出生体重极低(低于1500克),17名婴儿孕周不足30周。平均出生体重为987±311克,平均孕周为27.7±2.5周。8名婴儿在肺部疾病后存活。死亡或存活婴儿的新生儿参数无显著差异。然而,幸存者在通气第一天的最大吸气峰压和吸入氧浓度显著较低。两组气胸和窒息的发生率相同。

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