欧洲新生儿呼吸窘迫综合征防治指南被引量：52

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摘要尽管近年新生儿呼吸窘迫综合征(RDS)围产期管理有了很大进展,但有些方面仍存在争议,为此介绍欧洲新生儿专家小组在审阅截至2007年的最新文献后,提供该指南。产前激素预防RDS有很强的证据,但重复治疗是否安全尚不清楚。很多生后用于稳定早产儿的措施,包括给氧、肺正压通气,缺乏证据并有时可能是有害的。肺表面活性物质补充在RDS治疗中是很重要的,但最佳制剂、不同胎龄使用的最适剂量及给药时间尚不很清楚。机械通气这一呼吸支持方式是救命的,但可能引起肺损伤。治疗策略为鼓励使用经鼻持续气道正压,努力减少机械通气。为改善RDS患儿预后,须有良好的支持护理,包括维持正常体温、恰当的液体管理、良好的营养支持、处理动脉导管、支持循环维持正常血压。

作者冯琪

机构地区北京大学第一医院儿科

出处《中国新生儿科杂志》 CAS 2007年第6期387-394,共8页 Chinese Journal of Neonatology

关键词呼吸窘迫综合征新生儿连续气道正压通气循证医学通气机机械

分类号 R722.1 [医药卫生—儿科]

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