Stark A R
Med Instrum. 1982 May-Jun;16(3):160-2.
Breathing cessation happens frequently among infants in neonatal intensive care units, particularly among premature infants. Most instances are benign respiratory pauses; however, some are significant apneic spells--breathing pauses longer than 20 sec or associated with bradycardia or cyanosis. These apneic spells must be recognized promptly and the infants stimulated to breathe to avoid brain damage or death from hypoxia. Apnea monitors now in use can detect some types of apneic spells, but not those in which airflow has been occluded but breathing motions continued. Monitors that measure air flow have been developed, but are not yet perfected for clinical use. An acoustic air-flow monitor has been developed that registers apneic spells more reliably than monitors now in use, and does not affect the infant's normal breathing.
呼吸停止在新生儿重症监护病房的婴儿中经常发生,尤其是早产儿。大多数情况是良性呼吸暂停;然而,有些是严重的呼吸暂停发作——呼吸暂停持续时间超过20秒或伴有心动过缓或发绀。必须迅速识别这些呼吸暂停发作,并刺激婴儿呼吸,以避免因缺氧导致脑损伤或死亡。目前使用的呼吸暂停监测仪可以检测到某些类型的呼吸暂停发作,但无法检测到气流被阻塞但呼吸动作仍在继续的情况。已经开发出了测量气流的监测仪,但尚未完善到可用于临床。已经开发出一种声学气流监测仪,它比目前使用的监测仪更可靠地记录呼吸暂停发作,并且不会影响婴儿的正常呼吸。