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产房内接受正压通气的早产儿的短期和中期结局

Short- and intermediate-term outcomes of preterm infants receiving positive pressure ventilation in the delivery room.

作者信息

O'Reilly Megan, Cheung Po-Yin, Aziz Khalid, Schmölzer Georg M

机构信息

Department of Pediatrics, University of Alberta, Edmonton, AB, Canada T6G 2R3.

出版信息

Crit Care Res Pract. 2013;2013:715915. doi: 10.1155/2013/715915. Epub 2013 Jan 17.

Abstract

Although recent advances in neonatal care have improved survival rates, rates of bronchopulmonary dysplasia remain unchanged. Although neonatologists are increasingly applying gentle ventilation strategies in the neonatal intensive care unit, the same emphasis has not been applied immediately after birth. A lung-protective strategy should start with the first breath to help in the establishment of functional residual capacity, facilitate gas exchange, and reduce volutrauma and atelectotrauma. This paper will discuss techniques and equipment during breathing assistance in the delivery room.

摘要

尽管新生儿护理方面的最新进展提高了存活率,但支气管肺发育不良的发生率仍未改变。虽然新生儿科医生在新生儿重症监护病房越来越多地采用温和通气策略,但在出生后并未立即给予同样的重视。肺保护策略应从第一口呼吸开始,以帮助建立功能残气量,促进气体交换,并减少容积伤和肺不张伤。本文将讨论产房呼吸辅助期间的技术和设备。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf62/3562639/2db7cf6fedab/CCRP2013-715915.001.jpg

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