期刊
PAEDIATRIC RESPIRATORY REVIEWS
卷 14, 期 1, 页码 29-37出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.prrv.2012.02.002
关键词
Respiratory distress syndrome; Transient tachypnoea of the newborn; Pneumonia; Meconium aspiration syndrome; Extracorporeal membrane oxygenation
Respiratory distress is recognised as any signs of breathing difficulties in neonates. In the early neonatal period respiratory distress is common, occurring in up to 7% of newborn infants, resulting in significant numbers of term-born infants being admitted to neonatal units. Many risk factors are involved; the increasing number of term infants delivered by elective caesarean section has also increased the incidence. Additionally the risk decreases with each advancing week of gestation. At 37 weeks, the chances are three times greater than at 39-40 weeks gestation. Multiple conditions can present with features of respiratory distress. Common causes in term newborn infants include transient tachypnoea of the newborn, respiratory distress syndrome, pneumonia, meconium aspiration syndrome, persistent pulmonary hypertension of the neonate and pneumothorax. Early recognition of respiratory distress and initiation of appropriate treatment is important to ensure optimal outcomes. This review will discuss these common causes of respiratory distress in term-born infants. (c) 2012 Elsevier Ltd. All rights reserved.
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