期刊
CLINICS IN PERINATOLOGY
卷 43, 期 3, 页码 529-+出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.clp.2016.04.010
关键词
Hypbxia-ischemia; Asphyxia; Preterm infants; Therapeutic hypothermia; Neuroprotection
Birth asphyxia, also termed perinatal hypoxia-ischemia, is a modifiable condition as evidenced by improved outcomes of infants >= 36 weeks' gestation provided hypothermia treatment in randomized trials. Preterm animal models of asphyxia in utero demonstrate that hypothermia can provide short-term neuroprotection for the developing brain, supporting the interest in extending therapeutic hypothermia to preterm infants. This review focuses on the challenge of identifying preterm infants with perinatal asphyxia, the neuropathology of hypoxic-ischemic brain injury across extreme, moderate, and late preterm infants, and patterns of brain injury, use of therapeutic hypothermia, and approach to patient selection for neuroprotective treatments among preterm infants.
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