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晶状体后纤维增生症:基于近期病例的危险因素新分析

Retrolental fibroplasia: a new analysis of risk factors based on recent cases.

作者信息

Shahinian L, Malachowski N

出版信息

Arch Ophthalmol. 1978 Jan;96(1):70-4. doi: 10.1001/archopht.1978.03910050034008.

DOI:10.1001/archopht.1978.03910050034008
PMID:579984
Abstract

Over an 18-month period, four severe and eight mild cases of retrolental fibroplasia (RLF) were diagnosed. All infants had gestational age less than 34 weeks. While the percentage of infants with RLF increased with decreasing gestational age, the severity of RLF was not related to birth weight or gestational age. These RLF infants were compared with premature infants having normal fundi. The arterial blood gas values in the first week of life were similar for the two groups. However, during the subsequent weeks of oxygen therapy, the infants who developed severe RLF had a significantly greater number of hours of capillary oxygen tension at undesirable levels (Pcap O2 greater than 50 mm Hg) than the mild RLF or control infants. These results suggest that infants may be at greatest risk of severe retinal damage from oxygen relatively late in the course of their oxygen therapy.

摘要

在18个月的时间里,共诊断出4例严重和8例轻度晶状体后纤维增生症(RLF)。所有婴儿的胎龄均小于34周。虽然RLF婴儿的比例随着胎龄的降低而增加,但RLF的严重程度与出生体重或胎龄无关。将这些RLF婴儿与眼底正常的早产儿进行比较。两组在出生后第一周的动脉血气值相似。然而,在随后几周的氧疗期间,发生严重RLF的婴儿毛细血管氧张力处于不理想水平(Pcap O2大于50 mmHg)的小时数明显多于轻度RLF婴儿或对照婴儿。这些结果表明,婴儿在氧疗过程相对较晚阶段可能面临因氧气导致严重视网膜损伤的最大风险。

相似文献

1
Retrolental fibroplasia: a new analysis of risk factors based on recent cases.晶状体后纤维增生症:基于近期病例的危险因素新分析
Arch Ophthalmol. 1978 Jan;96(1):70-4. doi: 10.1001/archopht.1978.03910050034008.
2
Risk factors in retrolental fibroplasia.晶状体后纤维增生症的危险因素。
Pediatrics. 1980 Jun;65(6):1096-100.
3
Retrolental fibroplasia--controlled study of 4 years' experience in a neonatal intensive care unit.晶状体后纤维增生症——新生儿重症监护病房4年经验的对照研究
Arch Dis Child. 1982 Apr;57(4):247-52. doi: 10.1136/adc.57.4.247.
4
PaO2 levels and retrolental fibroplasia: a report of the cooperative study.动脉血氧分压水平与晶状体后纤维增生症:合作研究报告
Pediatrics. 1977 Nov;60(5):655-68.
5
Retrolental fibroplasia and factors influencing oxygen transport.晶状体后纤维增生症及影响氧运输的因素
Pediatrics. 1977 Jun;59(6):916-8.
6
Retrolental fibroplasia and blood transfusion in very low-birth-weight infants.极低出生体重儿的晶状体后纤维增生症与输血
Pediatrics. 1981 Dec;68(6):770-4.
7
Blood transfusion: a possible risk factor in retrolental fibroplasia.输血:晶状体后纤维增生症的一个潜在风险因素。
Acta Paediatr Scand. 1981 Jul;70(4):537-9. doi: 10.1111/j.1651-2227.1981.tb05736.x.
8
Low inspired oxygen concentrations in very-low-birthweight infants needing ventilatory support: an approach to the prevention of retrolental fibroplasia.
Br J Obstet Gynaecol. 1986 Apr;93(4):361-3.
9
The relationship of blood transfusions to retrolental fibroplasia.输血与晶状体后纤维增生症的关系。
Ann Ophthalmol. 1983 Apr;15(4):376-8.
10
Retrolental fibroplasia. Experience over two decades in one institution.晶状体后纤维增生症。一所机构二十多年的经验。
Ophthalmology. 1982 Feb;89(2):91-5, 103. doi: 10.1016/s0161-6420(82)34829-0.

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The development of the rat model of retinopathy of prematurity.早产儿视网膜病变大鼠模型的建立
Doc Ophthalmol. 2010 Feb;120(1):3-12. doi: 10.1007/s10633-009-9180-y. Epub 2009 Jul 29.
2
Early versus late discontinuation of oxygen in preterm or low birth weight infants.早产或低出生体重婴儿早期与晚期停止吸氧的比较。
Cochrane Database Syst Rev. 2000;2001(2):CD001076. doi: 10.1002/14651858.CD001076.
3
The progression of retinopathy of prematurity and fluctuation in blood gas tension.
Graefes Arch Clin Exp Ophthalmol. 1993 Mar;231(3):151-6. doi: 10.1007/BF00920938.
4
Clinical factors associated with retinopathy of prematurity.与早产儿视网膜病变相关的临床因素。
Arch Dis Child. 1988 May;63(5):522-7. doi: 10.1136/adc.63.5.522.
5
Ocular defects in infants of extremely low birth weight and low gestational age.极低出生体重和低胎龄婴儿的眼部缺陷
Br J Ophthalmol. 1991 Feb;75(2):84-7. doi: 10.1136/bjo.75.2.84.
6
Controlled study of ocular morbidity in school children born preterm.早产出生学龄儿童眼部发病率的对照研究
Br J Ophthalmol. 1992 Sep;76(9):520-4. doi: 10.1136/bjo.76.9.520.