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。
Objective To explore a method of increasing the survival rate and descreasing morbidity rate of extremely low birth weight infants (ELBWI). Method ELBWI, whose mean gestational age and weight were 25.6±1.7 weeks and 768.5±113.4 grams, with one or more complications were transported to higher level hospital rescucitated promptly in delivery room, nursed carefully, given neutral temperature, and given proper management of respiration. All kinds of complications were treated positively, the newborns' fluid, acid base were maintained, reasonabe intravenous nutrition were given, infection was prevented or treated, early intervention were given to the survival. Resuults All of these 8 cases were survival. After a mean hospitalzation period of 45.8±11.2 days, they had a mean weight of 2.13±0.24 kilograms when they were discharged. They were followed up for 12 months. Abnormal intelligence were found in 4 cases when they were 3 months old. In these cases, mild atelencephalia wee found in 3 cases. Mild abnormal intelligence was found in 1 case when he was 12 months. They had normal skull CT test. Conclusions The survival rate of ELBWI can be increased distinctly by correct and reasonable treatment,while the survival's morbidity rate can be decreased by early intervention.
出处
《中华围产医学杂志》
CAS
1999年第4期231-233,共3页
Chinese Journal of Perinatal Medicine
关键词
极低体重儿
预防
控制
ELBWI
Infant, very low birth weight Prevention control
