姚从月 邓晓毅 221009 江苏省徐州市妇幼保健院新生儿科 中华围产医学杂志 1999 0 2 4


    关键词：婴儿极低出生体重；预防和控制 期刊 zhwcyxzz 0 论著 fur -->


    

【摘要 】 目的 探讨提高超低出生体重儿(ELBWI)存活率、降低病残率的办法。 方法 8例ELBWI平均胎龄25.6±1.7周，平均体重(769±113)g，均有一种或多种并发症，经产前胎内运转，产时积极复苏，重视护理、保暖及呼吸管理，积极防治并发症，保持液体、酸碱平衡及合理的静脉营养，防治感染，并早期干预。 结果 8例全部成活，平均住院(46±12)天，出院体重(2.13±0.24)kg。随访1年。3个月时智测4例异常，其中3例轻度脑发育不良；1岁时智测1例轻度异常，脑CT均正常。 结论 正确合理的救治，可提高ELBWI的存活率，而早期干预，则可降低其病残率。

    Clinical Analysis of 8Extremely Low Birth Weight Infants

YAO Congyue, DENG Xiaoyi.Department of Pediatrics Xuzhou Helth Centre for Women and Children,Xuzhou 221009

【Abstract 】 Objective Toexplore a method of increasing the survival rate and descreasing morbidity rate ofextremely low birth weight infants (ELBWI). Method ELBWI, whose mean gestational ageand weight were 25.6±1.7 weeks and 768.5±113.4 grams, with one or more complicationswere transported to higher level hospital rescucitated promptly in delivery room, nursedcarefully, given neutral temperature, and given proper management of respiration. Allkinds of complications were treated positively, the newborns' fluid, acid-base weremaintained, reasonabe intravenous nutrition were given, infection was prevented ortreated, early intervention were given to the survival. Resuults All of these 8 caseswere survival. After a mean hospitalzation period of 45.8±11.2 days, they had a meanweight of 2.13±0.24 kilograms when they were discharged. They were followed up for 12months. Abnormal intelligence were found in 4 cases when they were 3 months old. In thesecases, mild atelencephalia wee found in 3 cases. Mild abnormal intelligence was found in 1case when he was 12 months. They had normal skull CT test. Conclusions The survivalrate of ELBWI can be increased distinctly by correct and reasonable treatment,while thesurvival's morbidity rate can be decreased by early intervention.

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