Miall Lawrence, Wallis Sam
Leeds General Infirmary, UK.
Arch Dis Child Educ Pract Ed. 2011 Aug;96(4):128-35. doi: 10.1136/adc.2010.189712. Epub 2011 Feb 28.
Respiratory distress in a moderately preterm baby often presents diagnostic and management challenges to the attending paediatrician. Many of these babies will require little or no intervention, but it is known that early intervention in babies with acute respiratory distress often prevents further complications. Most current research evidence relates to extremely preterm newborns, yet moderately preterm infants are numerically far more common. This article explores the differential diagnosis of respiratory distress in this population and presents an evidence based approach to treatment.
中度早产婴儿的呼吸窘迫常常给主治儿科医生带来诊断和管理方面的挑战。这些婴儿中的许多只需很少干预或无需干预，但众所周知，对急性呼吸窘迫婴儿进行早期干预往往可预防进一步的并发症。目前大多数研究证据涉及极早产新生儿，然而中度早产婴儿在数量上要常见得多。本文探讨了这一人群中呼吸窘迫的鉴别诊断，并提出了基于证据的治疗方法。
