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ATS 核心课程 2023. 儿科肺病学:婴儿呼吸障碍。

ATS core curriculum 2023. Pediatric pulmonary medicine: Respiratory disorders in infants.

机构信息

Department of Pediatrics, University of Florida College of Medicine, Gainesville, Florida, USA.

Department of Pediatrics, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA.

出版信息

Pediatr Pulmonol. 2024 Jun;59(6):1552-1568. doi: 10.1002/ppul.26961. Epub 2024 Mar 28.

Abstract

The American Thoracic Society Core Curriculum updates clinicians annually in pediatric pulmonary disease. This is a summary of the Pediatric Pulmonary Medicine Core Curriculum presented at the 2023 American Thoracic Society International Conference. The respiratory disorders of infancy discussed in this year's review include: the care of the patient with bronchopulmonary dysplasia in the neonatal intensive care unit, clinical phenotypes and comorbidities; diffuse lung disease; pulmonary hypertension; central and obstructive sleep apnea. The care of infants with respiratory disorders often poses significant challenges to the general pediatric pulmonologist, sleep clinician, and neonatologist. This review aims to highlight the most clinically relevant aspects of the evaluation, management, and outcomes of infants with these key respiratory disorders, while emphasizing the importance of multidisciplinary care. Furthermore, this document summarizes essential aspects of genetic testing, novel imaging and treatment modalities, and includes multiple resources for clinical practice.

摘要

美国胸科学会核心课程每年都会更新儿科肺病领域的临床医生。这是在 2023 年美国胸科学会国际会议上呈现的儿科肺病核心课程的总结。本年度综述中讨论的婴儿呼吸系统疾病包括:新生儿重症监护病房中支气管肺发育不良患者的护理、临床表型和合并症;弥漫性肺疾病;肺动脉高压;中枢性和阻塞性睡眠呼吸暂停。患有呼吸系统疾病的婴儿的护理常常对普通儿科肺科医生、睡眠临床医生和新生儿科医生提出重大挑战。本综述旨在强调评估、管理和治疗这些关键呼吸系统疾病婴儿的最具临床相关性的方面,同时强调多学科护理的重要性。此外,本文还总结了遗传检测、新型影像学和治疗方法的基本方面,并为临床实践提供了多个资源。

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