Progress of late-onset circulatory collapse in preterm infants
10.3760/cma.j.issn.1673-4408.2023.03.004
- VernacularTitle:早产儿晚发性循环衰竭的研究进展
- Author:
Yahui LI
1
;
Lijuan XIE
Author Information
1. 上海交通大学医学院附属新华医院新生儿科 200092
- Keywords:
Infant, premature;
Circulatory collapse;
Adrenal insufficiency
- From:
International Journal of Pediatrics
2023;50(3):159-163
- CountryChina
- Language:Chinese
-
Abstract:
Late-onset circulatory collapse(LCC)in preterm infants is characterized by sudden onset of hypotension and/or oliguria after the first week of life, which is resistant to volume expanders and inotropes but responds rapidly to timely glucocorticoids treatment.LCC should be managed promptly and properly, or it may cause respiratory, digestive complications and life-long neurological problems.Relative adrenal insufficiency is considered the most likely cause of LCC, but its pathophysiology remains unclear.This review summarizes the current reserch about LCC regarding its pathophysiology, clinical features, diagnosis, treatment, and prognosis.