Robertson N J, Edwards A D
Department of Pediatrics, Imperial College of Medicine, London, UK.
Curr Opin Pediatr. 1998 Dec;10(6):575-80. doi: 10.1097/00008480-199810060-00006.
Perinatal asphyxia is the most important cause of acute neurologic injury in the newborn and occurs in approximately six per 1000 term live births. After resuscitation of an infant with birth asphyxia, the emphasis has been on supportive therapy; however, there is increasing evidence that a "therapeutic window" exists in the early hours following the insult, and perhaps for longer, when intervention can attenuate activation of the neurotoxic cascade that leads to delayed cell death hours, days or months later.
围产期窒息是新生儿急性神经损伤的最重要原因,每1000例足月活产中约有6例发生。对出生窒息的婴儿进行复苏后,重点一直放在支持治疗上;然而,越来越多的证据表明,在损伤后的最初几个小时内存在一个“治疗窗口”,或许这个窗口会持续更长时间,在此期间进行干预可以减弱导致数小时、数天或数月后延迟性细胞死亡的神经毒性级联反应的激活。