摘要
目的 分析超低出生体质量儿(ELBW)常见并发症的发生率及防治措施。方法 对16例ELBW和26例极低出生体质量儿(VLBW)的并发症[肺透明膜病(NRDS)、支气管肺发育不良(BPD)、动脉导管未闭(PDA)、脑室内出血(IVH)、脑室周围白质软化(PVL)、早产儿视网膜病(ROP)]进行分析。结果 ELBW并NRDS、BPD、PDA、IVH、PVL、ROP发生率分别为81％、81％、25％、50％、13％、63％;VLBW并NRDS、BPD、PDA、IVH、PVL、ROP的发生率分别为88％、42％、42％、50％、12％、54％。BPD发生率ELBW较VLBW显著增高(P<0.05)。NRDS、BPD、PDA均治愈,ROP无致盲病例。ELBW组2例PVL并Ⅲ、Ⅳ度IVH,随诊出现脑瘫。结论 ELBW并发症中NRDS、BPD、ROP、IVH发生率高,Ⅲ度以上IVH和PVL是影响ELBW远期预后重要因素。
Objective To analyze the incidence of general complication and methods of prevention and treatment in extremely low birth weight infants (ELBW). Methods The complication of neonatal respiratory distress syndrome(NRDS), bronchopulmonary dys-plysia( BPD), patent ductus arteriosus(PDA),intracranial hemorrhage (IVH), periventricular leukomalacia (PVL) and retinopathy of prematurity (ROP) were analysed in 16 cases of ELBW and 26 cases of very low birth weight(VLBW) infants. Results The incidences of NRDS,BPD,PDA,IVH,PVL,ROP were 81 %,81 %,25 %,50 %,13 %,63 % respectively in ELBW group. The incidences of NRDS, BPD.PDA, IVH.PVL.ROP were 88 % ,42 % ,42 % ,50 % , 12 % ,54 % respectively in VLBW group. The incidence of BPD in ELBW infants was significantly higher than that of VLBW infants (P< 0.05). The outcome of NRDS, BPD and PDA were good and no blindness was caused by ROP. Two patients with PVL Ⅲ , Ⅳ grade IVH developed cerebral palsy by follow - up. Conclusions The incidences of NRDS, BPD, ROP, IVH are higher. IVH of Ⅱ,Ⅳ grade and PVL are important factors which contribute to the long - term outcome of ELBW infants.extremely low birth weight infant;complication;prevention
出处
《实用儿科临床杂志》
CAS
CSCD
北大核心
2004年第10期828-829,共2页
Journal of Applied Clinical Pediatrics
关键词
超低出生体质量儿
并发症
防治
extremely low birth weight infant complication prevention
