早产儿_____早产儿；胎龄；出生体重；并发症；死亡

住院早产儿并发症与死亡的因素分析

http://www.100md.com 《中华现代儿科学杂志》 2006年第1期

早产儿,,早产儿；胎龄；出生体重；并发症；死亡,【摘要】,【关键词】,1资料与方法,2结果,3讨论,【参考文献】

     【摘要】 目的探讨早产儿并发症与死亡的关系。方法对北京大学第三临床医院1994年1月～2005年12月12年期间住院的1378例早产儿的临床资料进行回顾性分析。结果本组早产儿死亡74例，病死率5.4%。胎龄愈小，出生体重愈小，病死率愈高(卡方趋势检验P值均<0.05)。早产儿并发症与死亡单因素分析中，新生儿肺透明膜病、新生儿肺炎、新生儿肺出血、硬肿症、窒息、呼吸衰竭、酸中毒是导致死亡的重要因素。结论减少低胎龄儿和低体重儿出生，加强早产儿围产期保健和早产儿的呼吸管理，积极防治新生儿肺透明膜病、新生儿肺炎、新生儿肺出血、硬肿症、窒息、呼吸衰竭和酸中毒，可能降低早产儿病死率。

     【关键词】 早产儿；胎龄；出生体重；并发症；死亡

    The relation between complication and death in premature infants

    CAO Lijie,LI Song.Department of Pediatrics,Longnan Hospital,Daqing 163453,China

    【Abstract】 Objective To explore relation of premature infants’ gestational age,birth weight,complication with death.Methods Medical records of 1378 hospitalized preterm infants from January 1994 to December 2005 were reviewed.Results Seventyfour babies died,the mortality rate was 5.4%.The smaller the gestational age and birth weight was,the higter the mortality would be.The single factor analysis showed that the important factors of death were respiratory distress syndrome,pneumonia,pulmonary hemorrhage,sclerodema,asphyxia,respiratory failure and acidosis.Conclusion Reduce the birth of low gestational age and low birth weight preterm infants,enforce the perinatal health care,prevent and cure their respiratory distress syndrome,pneumonia,pulmonary hemorrhage,sclerodema,asphyxia,respiratory failure and acidosis positively.That maybe reduce the mortality of premature infant. ......

百拇医药网 http://www.100md.com/html/DirDu/2006/06/10/00/73/85.htm

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