产房极低出生体重儿的管理

Management of Extremely Low Birth Weight Infants in Delivery Room.

作者信息

Nosherwan Asma, Cheung Po-Yin, Schmölzer Georg M

机构信息

Centre for the Studies of Asphyxia and Resuscitation, Royal Alexandra Hospital, 10240 Kingsway Avenue Northwest, Edmonton, Alberta T5H 3V9, Canada; Department of Pediatrics, University of Alberta, 116 St & 85 Avenue, Edmonton, Alberta T6G 2R3, Canada.

出版信息

Clin Perinatol. 2017 Jun;44(2):361-375. doi: 10.1016/j.clp.2017.01.004. Epub 2017 Mar 9.

DOI:10.1016/j.clp.2017.01.004

PMID:28477666

Abstract

Extremely low birth weight (ELBW) infants are particularly vulnerable at birth, and stabilization in the delivery room (DR) remains challenging. After birth, ELBW infants are at high risk for the development of thermal dysregulation, respiratory insufficiency, and hemodynamic instability due to their immature physiology and anatomy. Although successful stabilization facilitates the transition and reduces acute morbidity, suboptimal care in the DR could cause long-term sequelae. This review addresses the challenges in stabilization in the DR and current neonatal resuscitation guidelines and recommendations.

摘要

极低出生体重（ELBW）婴儿在出生时特别脆弱，在产房（DR）进行稳定处理仍然具有挑战性。出生后，由于生理和解剖结构不成熟，ELBW婴儿发生体温调节障碍、呼吸功能不全和血流动力学不稳定的风险很高。尽管成功的稳定处理有助于过渡并降低急性发病率，但产房的护理不当可能会导致长期后遗症。本综述探讨了产房稳定处理中的挑战以及当前的新生儿复苏指南和建议。