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早产儿的初始复苏能否降低透明膜病的死亡率?

Can initial resuscitation of preterm babies reduce the death rate from hyaline membrane disease?

作者信息

Omer M I, Robson E, Neligan G A

出版信息

Arch Dis Child. 1974 Mar;49(3):219-21. doi: 10.1136/adc.49.3.219.

DOI:10.1136/adc.49.3.219
PMID:4825628
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1648699/
Abstract

Retrospective analysis of the case records of 465 babies with a birthweight between 1·0 kg and 2·0 kg, born during 1960-67, showed that 17·9% were described as blue' on arrival in the special care nursery, and that their mortality from hyaline membrane disease was 28·9% as compared with 6·8% in those described as pink'. The overall mortality from hyaline membrane disease was 10·8%. After the adoption of a policy of earlier use of oxygen under intermittent positive pressure, and more careful supervision of the environmental conditions during transfer to the nursery, the proportion of babies described as `blue' on arrival fell to 5·4% (a statistically significant improvement), and the overall mortality from hyaline membrane disease fell to 6·5% (not a significant improvement on the numbers available so far).

摘要

对1960年至1967年间出生体重在1.0千克至2.0千克之间的465名婴儿的病例记录进行回顾性分析发现,17.9%的婴儿在进入特别护理病房时被描述为“脸色发紫”,他们因肺透明膜病的死亡率为28.9%,而被描述为“脸色红润”的婴儿这一死亡率为6.8%。肺透明膜病的总体死亡率为10.8%。在采取了更早使用间歇正压给氧政策以及在转送至病房过程中对环境条件进行更仔细监测的措施后,进入时被描述为“脸色发紫”的婴儿比例降至5.4%(有统计学意义的改善),肺透明膜病的总体死亡率降至6.5%(就目前可得数据而言无显著改善)。

相似文献

1
Can initial resuscitation of preterm babies reduce the death rate from hyaline membrane disease?早产儿的初始复苏能否降低透明膜病的死亡率?
Arch Dis Child. 1974 Mar;49(3):219-21. doi: 10.1136/adc.49.3.219.
2
Resuscitation of preterm babies at birth reduces the risk of death from hyaline membrane disease.早产儿出生时进行复苏可降低患透明膜病死亡的风险。
Arch Dis Child. 1982 Mar;57(3):184-6. doi: 10.1136/adc.57.3.184.
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引用本文的文献

1
Resuscitation of preterm babies at birth reduces the risk of death from hyaline membrane disease.早产儿出生时进行复苏可降低患透明膜病死亡的风险。
Arch Dis Child. 1982 Mar;57(3):184-6. doi: 10.1136/adc.57.3.184.
2
Born before their time into this breathing world.他们过早地来到了这个有呼吸的世界。
Br Med J. 1976 Dec 11;2(6049):1403-4. doi: 10.1136/bmj.2.6049.1403.
3
Continuous postive airways pressure treatment by a face chamber in idiopathic respiratory distress syndrome.采用面罩持续气道正压通气治疗特发性呼吸窘迫综合征。
Arch Dis Child. 1976 Jan;51(1):13-21. doi: 10.1136/adc.51.1.13.

本文引用的文献

1
Respiratory distress syndrome of newborn infants. II. Clinical study of pathogenesis.新生儿呼吸窘迫综合征。II. 发病机制的临床研究。
J Pediatr. 1962 Jul;61:9-16. doi: 10.1016/s0022-3476(62)80223-6.
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Physiology of respiration in newborn infants and in the respiratory distress syndrome.新生儿及呼吸窘迫综合征的呼吸生理学
Pediatrics. 1959 Dec;24:1069-101.
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THE EFFECT OF IMMATURITY AND PRENATAL ASPHYXIA ON THE LUNGS AND PULMONARY FUNCTION OF NEWBORN LAMBS: THE EXPERIMENTAL PRODUCTION OF RESPIRATORY DISTRESS.未成熟和产前窒息对新生羔羊肺部及肺功能的影响:呼吸窘迫的实验性产生
Pediatrics. 1965 Mar;35:382-92.
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The relationship of pulmonary hyaline membrane to certain factors in pregnancy and delivery.肺透明膜与妊娠及分娩中某些因素的关系。
Pediatrics. 1960 Jul;26:42-50.
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Hyaline membrane disease in twins.双胞胎的透明膜病
Pediatrics. 1969 Jan;43(1):143.
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Hyaline membrane disease in twins.双胎的透明膜病
Pediatrics. 1968 Jul;42(1):204-5.
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A controlled study of early fluid administration on survival of low birth weight infants.早期液体输注对低出生体重儿生存影响的对照研究。
Pediatrics. 1966 Oct;38(4):547-54.
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Certain causes of neonatal death. I. Hyaline membranes.
Biol Neonate. 1970;15(34):229-55. doi: 10.1159/000240229.
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Perinatal mortality in Newcastle upon Tyne 1960-62.1960 - 1962年泰恩河畔纽卡斯尔的围产期死亡率
Lancet. 1966 Jan 15;1(7429):140-2. doi: 10.1016/s0140-6736(66)91276-1.