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重度支气管肺发育不良婴儿的抗胃食管反流手术

Anti-gastroesophageal reflux surgery in infants with severe bronchopulmonary dysplasia.

作者信息

Jensen Erik A, Munson David A, Zhang Huayan, Blinman Thane A, Kirpalani Haresh

机构信息

Division of Neonatology and Department of Pediatrics, The Children's Hospital of Philadelphia and The University of Pennsylvania, Philadelphia, Pennsylvania.

Division of Pediatric Surgery and Department of Pediatrics, The Children's Hospital of Philadelphia and The University of Pennsylvania, Philadelphia, Pennsylvania.

出版信息

Pediatr Pulmonol. 2015 Jun;50(6):584-7. doi: 10.1002/ppul.23052. Epub 2014 Apr 21.

Abstract

Gastroesophageal reflux may exacerbate lung disease in infants with bronchopulmonary dysplasia (BPD). Anti-reflux surgery may therefore reduce the severity of this disease in some infants. We report a retrospective series of 22 infants with severe BPD who underwent anti-reflux surgery. Our experience indicates that these procedures can be safely performed in this population and that early post-operative initiation of gastric feeds is well tolerated. Modest post-operative reductions in required oxygen and median respiratory rate were observed.

摘要

胃食管反流可能会加重支气管肺发育不良(BPD)婴儿的肺部疾病。因此,抗反流手术可能会减轻部分婴儿这种疾病的严重程度。我们报告了一组22例接受抗反流手术的重度BPD婴儿的回顾性病例。我们的经验表明,这些手术可以在这一群体中安全地进行,并且术后早期开始胃内喂养耐受性良好。观察到术后所需氧气量和平均呼吸频率有适度降低。

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