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Risk Factors and Outcome of Bronchopulmonary Dysplasia

Journal of the Korean Pediatric Society 1994;37(1):78-88.
Published online January 15, 1994.
Risk Factors and Outcome of Bronchopulmonary Dysplasia
Beyong Il Kim1, Yun Sil Chang1, Dong Woo Son1, Hae Kyung Han1, Jung-Hwan Choi1, Chong Ku Yun1, In One Kim1, Kyung Mo Yeon1, Je G. Chi2
1Department of Radiology, Seoul National University College of Medicine, Seoul, Korea
2Department of Pathology, Seoul National University College of Medicine, Seoul, Korea
기관지 폐 이형성증의 유발요인 및 예후
김병일1, 장윤실1, 손동우1, 한혜경1, 최중환1, 윤종구1, 김인원1, 연경모1, 지제근2
1서울대학교 의과대학 소아과학교실
2서울대학교 의과대학 병리학교실
Abstract
The 45 neonates with bronchopulmonary dysplasia among 355 neonates who were managed with mechanical ventilation and oxygen therapy in NICU of Seoul National University Chhildren's Hospital from January 1, 1968 to December 31, 1991, were analyzed for risk factors and outcome. The results were as follows: 1) The incidence of bronchopulmonary dysplasia was 12.7% 2) Respiratory Distress Syndrome was most common underlying problem. 3) The common radiologic findings of BPD were peripheral streaky density, emphysematous change, reticular or granular perihilar density, pulmonary interstitial emphysema, bubbly or small cystic change, and pneumothorax. 4) The survival rate of BPD showed 80% in the follow-up study. 5) Retinopathy of prematurity and intraventricular hemorrhage were more frequent significantly in the BPD group (p<0.05). 6) The risk factors of BPD were lower birth weight, shorter gestational age, longer duration of oxygen therapy an mechanical ventilation, and the presence of PDA.
Key Words: Bronchopulmonary dysplasia, Risk factors, Outcome


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