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Boletín Médico del Hospital Infantil de México

2005, Número 5

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Bol Med Hosp Infant Mex 2005; 62 (5)


Esteroides en Neonatología: entusiasmo, uso, abuso y desuso. ¿Dónde está el justo medio?

Murguía-de Sierra MT

Idioma: Español
Referencias bibliográficas: 30
Paginas: 313-318
Archivo PDF: 94.97 Kb.


FRAGMENTO

Anualmente ocurren en el mundo cuatro millones de muertes neonatales y gran proporción de las mismas es debida a problemas asociados a la premadurez.1 Un neonato pretérmino tiene inmadurez y falta de desarrollo de algunos órganos y sistemas. Así, la falta de maduración pulmonar es una de las principales causas de morbilidad y mortalidad neonatal. También existen muchos otros problemas en este grupo vulnerable de neonatos nacidos antes de término, como son: hemorragia intraventricular, retinopatía del prematuro, displasia broncopulmonar, infecciones, etc. Para mejorar la supervivencia neonatal, es indispensable evitar la premadurez y sus complicaciones y es importante abordar al binomio madre-hijo, para intervenir durante el embarazo o inclusive antes del mismo. Deben existir esfuerzos conjuntos entre el ginecólogo y el neonatólogo en el análisis de cada embarazo y la planeación de las mejores estrategias para obtener los mejores resultados perinatales.


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