Ventilatory pump failure in premature newborns.
Ventilatory pump failure in premature newborns.
复制标题
早产儿通气泵衰竭。
DOI：
10.1002/ppul.1950170405
复制
发表时间：
1994
影响因子：
3.1
通讯作者：
Balsan,MJ
中科院分区：
文献类型：
--
作者：
Watchko,JF;Balsan,MJ
Objective: To determine the prevalence of ventilatory pump failure in premature (<34 weeks gestation) infants. Design: Prospective clinical evaluation of all neonatal intensive care unit (NICU) admissions over a 12 month period in a large, university affiliated hospital. Subjects: A series of 421 consecutive inborn premature infant admissions to the NICU. Methods: Infants were followed for signs and symptoms of respiratory distress and monitored closely for evidence of respiratory failure requiring in tubation and assisted ventilation. The indications for in tubation and assisted ventilation were reviewed, and three such indications were considered clear manifestations of ventilatory pump failure, that is, delivery room resuscitation with CXR negative for evidence of parenchymal lung disease [DR/CXR‐1, hypercapnia (P > 55 torr) [ ↑ CO2], and apnea.Results: A total of 192 premature infants (47% of study sample? required intubations and assisted ventilation. Failure of the ventilatory pump to sustain ventilation (DR/CXR‐, ↑ CO2apnea) accounted for 70 of these 192 (36%) premature infants. Conclusions: Ventilatory pump failure is a common clinical phenomenon in premature infants. Intensified research on the mechanisms and treatment of ventilatory pump failure might benefit a significant number of such newborns.Pediatr Pulmonol. 1994; 17:231–233.© 1994 Wiley‐Liss, Inc.
