Livolsi P
Divisione Pediatrica Ospedale Civile "S. Andrea", La Spezia Italia.
Pediatr Med Chir. 1988 Jul-Aug;10(4):383-93.
The improved techniques of medical care and reanimation of newborns have caused a relevant increase in the survival of those with a very low weight at their birth. Pathologies related both to the tissue immaturity of the patients treated and to the exceptionally strong technic of reanimation have increased: the bronchopulmonary dysplasia described by Northway and Coll. in 1967 is one of them. This work aims at examining the latest acquisitions of the syndrome, which in its early stages is still indistinguished from serious cases of HMD. The most efficient treatments applied are explained and prevention is stressed as the best therapy. The A. concludes that the reanimation therapy and the respiratory assistance should be carefully monitorized and there should be a close relationship between the neonatologist and the anaesthesiologist.
新生儿医疗护理和复苏技术的改进使得出生时体重极低的新生儿存活率显著提高。与所治疗患者的组织不成熟以及异常强大的复苏技术相关的病症有所增加:Northway及其同事在1967年描述的支气管肺发育不良就是其中之一。这项工作旨在研究该综合征的最新情况,该综合征在早期仍与严重的呼吸窘迫综合征病例难以区分。文中解释了所应用的最有效的治疗方法,并强调预防是最佳治疗手段。作者得出结论,应对复苏治疗和呼吸支持进行仔细监测,新生儿科医生和麻醉医生之间应保持密切联系。