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相關文獻
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頁籤選單縮合
題 名 | Chronic Lung Disease in Extremely Low Birth Weight Infants: A Two-year Retrospective Analysis=超低出生體重兒之慢性肺疾病:二年回顧分析 |
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作 者 | 蘇百弘; 胡博翔; 彭慶添; 蔡長海; | 書刊名 | 臺灣兒科醫學會雜誌 |
卷 期 | 41:2 民89.03-04 |
頁 次 | 頁75-79+111 |
分類號 | 417.5171 |
關鍵詞 | 超低出生體重兒; 慢性肺疾病; 肢支氣管發育不良; Wilson-Mikity症候群; 早產兒慢性肺功能不全; Extremely low birth weight infant; Chronic lung disease; Bronchopulmonary dysplasia; Wilson-Mikity syndrome; Chronic pulmonary insufficiency of prematurity; |
語 文 | 英文(English) |
中文摘要 | 爲了解超低出生體重兒慢性肺疾病之發生率及其分類,以1997年1月至1998年12月二年間,住進中國醫藥學院附設醫院新生兒加護病房,少於28週,出生體重1000小於公克之早産兒來做回顧性分析。慢性肺疾病定義爲:在生後28天時仍有呼吸窘迫之症狀,須要額外補充氧氣,同時在胸部X光上有特殊的變化。本研究中將慢性肺疾病分爲三類:1.肺支氣管發育不良,有先行的呼吸窘迫症候群;2.Wilson-Mikity症候群,沒有先行的呼吸窘迫症候群,但在生後早期的胸部X光上有光潔狀變化;3.早産兒慢性肺功能不全,X光上沒有上述二者的特殊變化,只有彌溫性的霧狀變化。總共分析117個早産兒,在28天之存活率爲60.7%(71/117)。慢性肺疾病之發生率爲50.7(36/71),其中,肺支氣管發育不良47%(17/36),Wilson-Mikity症候群11%(4/36),早産兒慢性肺功能不全42%(15/36)。使用人工呼吸期間之中間值依序爲45天、45.5天及7.5天。給予氧氣中間值依序爲73天、149天及52.5天。在修正年齡達到悑孕後36週時,仍需要氧氣補充者,肺肢氣管發育不良中有14例(82.4%),Wilson-Mikity症候群中有4例(100%),早産兒慢性肺功能不全中則只有3例(20%)。肺支氣管發育不良及Wilson-Mikity症候中有有1例使用居家氧氣治療。肺支氣管發育不良中有4例死於呼吸衰竭。我們的分析結果顯示在超低出生體重兒中慢性肺疾病的發生率仍然偏高,爲50.7%,有待我們更加努力來使其降低。慢性肺疾病的臨床過程中,有發和嚴重呼吸疾患甚或死亡者,也有短期內完全恢複不留下任何問題者。在請求慢性肺疾病之預防策略時,應攷慮到這個事實。 |
英文摘要 | To determine the incidence and classification of chronic lung disease (CLD) in extremely low birth weight (ELBW) infants, a 2-year retrospective analysis was performed. From January 1997 to December 1998, 117 infants weighing less than 1000 g were enrolled. The survival rate beyond 28 days was 60.7% (71/117). CLD was defined as a supplemental oxygen requirement at 28 days of age, with symptoms of persistent respiratory distress and chest radiograph showing characteristic appearance. In addition to the common finding of CLD, infants with bronchopulmonary dysplasia (BPD) had history of respiratory distress syndrome (RDS), infants with Wilson-Mikity syndrome (WMS) had no RDS but had early appearance of bubbly lung on chest x-ray, and infants with chronic pulmonary insufficiency of prematurity (CPIP) had only hazy appearance on chest x-ray. The incidence of CLD in infants who survived beyond 28 days was 50.7% (36/71). Among the 36 infants with CLD, 17(47%) had BPD, 4 (11%) had WMS and 15 (42%) had CPIP. The median (mm, max) days of mechanical ventilation were 45 (9, 112), 45.5 (45, 50) and 7.5 (0, 40) days in BPD, WMS and CPIP groups, respectively. The median (mm, max) days of oxygen requirement were 73 (28, 120), 149 (70, 211) and 52.5 (38, 90) days, respectively. The infants still requiring oxygen at post-conceptional age of 36 weeks are significantly more in BPD (14 (82.4%)) and in WMS (4 (100%)) than in CPIP (3 (20%)). Two (1 BPD, I WMS) were discharged and received oxygen therapy at home. Four infants with BPD died of respiratory failure. CLD includes a wide range of conditions, from BPD or WMS with severe respiratory morbidity and mortality to no residual problems. Such information is important for design of appropriate strategies to prevent CLD. |
本系統中英文摘要資訊取自各篇刊載內容。