Respiratory arrest in infants secondary to gastroesophageal reflux.
Respiratory arrest in infants secondary to gastroesophageal reflux.
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继发于胃食管反流的婴儿呼吸停止。
作者：
L. Leape;T. Holder;J. Franklin;R. Amoury;K. Ashcraft
胃食管反流在婴儿和儿童中越来越常见。曾经被认为是罕见的，或没有意义的，现在普遍承认时，寻求适当的放射技术在可疑的个人。它的表现是千变万化的。虽然在大多数情况下，胃食管反流相对无害，但婴儿期胃食管反流可能导致发育不良、消化性食管炎导致的失血性贫血和复发性吸入性肺炎，后者的重要性已被几位作者充分描述。
近年来，我们治疗了10名6个月以下的儿童，其呼吸骤停似乎是由于胃食管反流引起的（表I）。
Gastroesophageal reflux is being recognized with increasing frequency in infancy and childhood. Once thought to be rare, or of no significance, it is now commonly recognized when sought for by proper radiologic techniques in suspected individuals. Its manifestations are protean. Although in most instances it is relatively harmless, gastroesophageal reflux in infancy may be responsible for failure to thrive, blood loss anemia resulting from peptic esophagitis, and recurrent aspiration pneumonia, The importance of the last has been well described by several authors.1-5
In recent years, we have treated ten children less than 6 months old for episodes of respiratory arrest which appeared to be due to gastroesophageal reflux (Table I).