Dawodu A H, Ogunbiyi O
Ann Trop Paediatr. 1984 Mar;4(1):1-5. doi: 10.1080/02724936.1984.11748297.
Although respiratory distress is common among African newborn infants in special care, respiratory distress syndrome, which is the commonest cause of respiratory distress in other races, has been reported as uncommon among African infants. A prospective study of 312 consecutive newborn Nigerian infants admitted to a special care unit revealed 103 (33%) with respiratory distress. In 100 cases studied there was transient tachypnoea of the newborn ( TTN ) in 40% while specific diseases such as pneumonia and septicaemia, severe aspiration syndromes and respiratory distress syndrome (RDS) accounted for 25%, 19% and 12%, respectively. TTN and RDS occurred mostly among preterm infants with moderate perinatal asphyxia while severe aspiration syndrome was found among term infants with severe birth asphyxia. The study suggests that prevention and/or improved management of perinatal asphyxia and infections should reduce the incidence and mortality associated with neonatal respiratory distress.
尽管呼吸窘迫在接受特殊护理的非洲新生儿中很常见，但呼吸窘迫综合征作为其他种族呼吸窘迫最常见的原因，在非洲婴儿中却报道较少。一项对连续入住特殊护理病房的312名尼日利亚新生儿进行的前瞻性研究显示，103名（33%）有呼吸窘迫。在研究的100例病例中，40%为新生儿短暂性呼吸急促（TTN），而肺炎、败血症、严重吸入综合征和呼吸窘迫综合征（RDS）等特定疾病分别占25%、19%和12%。TTN和RDS大多发生在有中度围产期窒息的早产儿中，而严重吸入综合征则见于有严重出生窒息的足月儿。该研究表明，预防和/或改善围产期窒息和感染的管理应能降低与新生儿呼吸窘迫相关的发病率和死亡率。
