早产儿脑室周围白质软化与低碳酸血症的关系_吴本清.pdfVIP

2003 11 6 6 　Chin J Perinat Med, Nov.2003, Vol.6, No.6 ·329 · ·· 吴本清　Young-You Choi 　Chang-Yee Cho 　　【】　　 (PV L)。 　 　PV L PV L 26～32 25 , 。3 d 。 　　3 d 、、 、。PV L (3.7 ±1.1) (4.1±1.3)h, (P0.05)。P VL 72 h P aCO (23.0± 2 1.2)mm Hg (1 mm Hg=0.133 kPa)(31.0 ±7.6)mm Hg;(26.3± 7.8)(1.7±0.4)h;(P0.01)。 PaCO ≤25 mm Hg , 2 (O R) 16.6 (95%, 4.1 ～67.4, P0.01)。 　　 PV L 。 72 h PaCO 25 mm Hg, PV L 。 2 【】　, ;, ;, ; The Relation Between Hypocarbia and Periventricular Leukomalacia in Preterm Infants　WU Ben- ＊ ＊ qing , Young-You Choi, Chang-Yee Cho.Dep artment of Neonatology, The Second Af f iliated Hospi- tal of inan University, Shenz hen 518020, China 【Abstract】　Objective　To inve tigate the relatio n between hy pocarbia and periventricular leukomala- cia (P V L)in preterm infant treated with mechanical ventilation.　 ethods　Ca e-controlled tudy wa conducted in 25 preterm infant with PV L (PV L group)and 25 preterm infant normal developed (control group).Their ge tational age w ere 26 to 32 week .T he parameter of mechanical ventilation and blood ga analy i w ithin the fir t 3 day were compared.　Results　T here were no ig nificantly difference in param- eter of ventilator etting , including peak in piratory pre ure, po itive end-ex piratory pre ure, mean air- w ay pre ure and re piratory rate between PV L group and co ntrol group.T he duration of hypoxemia in PV L and control group had no difference, (3.7±1.1)h vs(4.1±1.3)h (P0.05).T he minimum Pa- CO (minPaCO )within the fir t 72 h of life and duration of hy pocarbia in PV L and control group w ere 2 2 (23.0 ±1.2)mm Hg vs (31.0 ±7.6)mm Hg, and (26.3 ±7.8)h vs (1.7 ±0.4)h, (P0.