早产儿低氧性呼吸衰竭(HRF)和肺动脉高压(PH)是导致新生儿死亡和并发症发生的重要原因。近年来,随着对HRF/PH的不同分类及表型的深入研究,正确的诊断及针对不同表型的靶向干预策略选择愈加规范,尤其是呼吸支持策略的优化及基于吸入一氧化氮靶向治疗手段已展现出应用前景。但是对于早产儿这一特殊人群,PH的处理仍需积累更多的临床证据。本文对早产儿急性PH和支气管肺发育不良并发PH的诊治研究进展进行总结分析,旨在为早产儿PH的管理提供参考。
早产儿低氧性呼吸衰竭(HRF)和肺动脉高压(PH)是导致新生儿死亡和并发症发生的重要原因。近年来,随着对HRF/PH的不同分类及表型的深入研究,正确的诊断及针对不同表型的靶向干预策略选择愈加规范,尤其是呼吸支持策略的优化及基于吸入一氧化氮靶向治疗手段已展现出应用前景。但是对于早产儿这一特殊人群,PH的处理仍需积累更多的临床证据。本文对早产儿急性PH和支气管肺发育不良并发PH的诊治研究进展进行总结分析,旨在为早产儿PH的管理提供参考。
Hypoxemic respiratory failure (HRF) and pulmonary hypertension (PH) in preterm infants are important causes of neonatal death and complications. In recent years, with the in⁃depth understanding of the different classifications and phenotypes of HRF/PH, the correct diagnosis and the selection of targeted intervention strategies for different phenotypes have become more and more standardized. In particular, the optimization of respiratory support strategies and targeted therapy based on inhaled nitric oxide have shown their prospects. However, for the special population of preterm infants, more clinical evidence still needs to be accumulated for the management of PH. This paper focuses on the research progress on the diagnosis and treatment of acute PH and bronchopulmonary dysplasia associated with PH in preterm infants, aiming at providing reference for the management of PH in preterm infants.