摘要近年来,随着择期剖宫产率等因素增加,足月儿呼吸窘迫的发生率也呈上升趋势,已引起广泛关注.本文从母婴两方面重点综述了发生足月儿呼吸窘迫综合征的高危因素及相关机制.发现选择性剖宫产、胎龄、胎儿性别以及某些妊娠合并症均能影响足月儿呼吸窘迫综合征的发病率.并指出一旦呼吸困难加重,要及时使用呼吸支持和尽早使用肺泡表面活性物质,各种综合措施联合使用可减少足月儿呼吸窘迫综合征的病死率.

abstractsIn recent years, with the increase of elective cesarean section rate and other factors,the rate of neonatal respiratory distress in full-term neonates is rising,which has aroused widespread concern.The risk factors and related mechanisms of respiratory distress syndrome in full-term infants were reviewed from two aspects of maternal and infant.Selective cesarean section, gestational age, fetal sex and some pregnancy complications can affect the rate of respiratory distress syndrome in full-term infants.Timely use of respiratory support and early use of pulmonary surfactant, and the combined use of comprehensive measures can reduce the mortality of neonatal respiratory distress syndrome rate.