Hernandorena X, Dehan M, Francoual J, Ropert J C, Boulley A M, Laudignon N, Janaud J C, Gabilan J C
Arch Fr Pediatr. 1980 Jun;37(6):377-80.
Eleven full term neonates with respiratory distress syndrome resembling hyaline membrane disease (HMD) are reported. Gestational ages awere assessed from the history and by clinical and EEG criteria. The diagnosis of HMD was made when clinical and radiological signs, usually present in premature infants, were found together with an abnormal lecithin/sphingomyelin ratio in the tracheal aspirate during the first 60 hours. In the majority of newborns all organs should be mature after 37 weeks gestation but, development may be delayed. Thus the lungs in the full term infants may occasionally have an immature surfactant system.
报告了11例足月新生儿,其患有类似透明膜病(HMD)的呼吸窘迫综合征。根据病史、临床及脑电图标准评估胎龄。当在出生后60小时内发现通常见于早产儿的临床和放射学体征,同时气管吸出物中卵磷脂/鞘磷脂比值异常时,即可诊断为HMD。大多数新生儿在妊娠37周后所有器官应已成熟,但发育可能会延迟。因此,足月婴儿的肺部偶尔可能会有未成熟的表面活性物质系统。