摘要
目的分析超低出生体重儿(Extremely Low Birth Weight Infants,ELBWI)的临床资料,总结其高危因素,合并症,治疗措施及预后。方法采用回顾性分析河南宏力医院2007年-2014年收治的超低出生体重儿的临床资料。结果 (1)一般资料:共收治82例。预后:好转34例(41.5%);放弃32例(39.0%);死亡16例(19.5%)。(2)高危因素:主要为胎膜早破28例(34.1%)。(3)存活患儿常见合并症为:新生儿呼吸窘迫综合征32例(94.1%),败血症34例(100%),支气管肺发育不良24例(70.6%),早产儿视网膜病22例(64.7%),动脉导管未闭20例(58.8%),脑损伤12例(35.3%)。(4)存活患儿治疗措施:肺表面活性物质应用17例(50%),INSURE技术15例(44.1%),早期微量喂养32例(94.1%),母乳喂养28例(82.4%),有创通气12例(35.3%)。结论积极避免高危因素,防治合并症,采取综合系统性管理,可有效改善超低出生体重儿的预后。
OWecfive To analyze the clinical data of Extremely Low Birth Weight Infants （ELBWI）,and to summarize the high-risk factors, complications, treatment and prognosis. Methods The clinical data of ELBWI treated in Henan Hongli Hospital from 2007 to 2014 were retrospectively analyzed. Results （1） General data： a total of 82 cases were treated. Progno-sis： improved in 34 cases （41.5 %）; abandoned 32 cases （3 9 .0 %）; death in 16 cases （19. 5% ） . （2） high risk factors： mainly for premature rupture of membranes in 28 cases （34. 1%）. （3） the common complications for the survival was： 32 cases （94. 1%） of neonatal respiratory distress syndrome, 34 cases of sepsis （100%）, 24 cases of bronchopulmonary dysplasia （70. 6%） , 22 cases of retinopathy of premature infants （64. 7% ） , patent ductus arteriosus in 20 cases （58. 8% ） , brain injury in 12 cases （35. 3%）. （4） treatment measures for survived children： pulmonary surfactant application in 17 cases （5 0% ） 〉 in-sure in 15 cases （44. 1%） ？ early micro-feeding in 32 cases （94. 1%） , breastfeeding in 28 cases （82. 4%） , invasive ventilation in 12 cases （35. 3%）. Conclusion When the high-risk factors are avoided, the comorbidities are prevented and treated, the prognosis of ELBWI can be improved effectively through adopting the comprehensive and systematic management.
出处
《临床研究》
2018年第1期59-60,共2页
Clinical Research
关键词
合并症
高危因素
治疗措施
超低出生体重儿
Complications
Risk factors
Treatment measures
Extremely Low Birth Weight Infants
