超极低体重早产儿救治的临床研究

Clinical management of extremely low birth weight newborns : report on 2 cases

目的探讨超极低出生体重早产儿的临床救治方法。方法分析超极低出生体重早产儿临床表现,并采取综合性治疗措施。结果2例超极低出生体重的极早产儿,皆能经过103d的救治,体重增长,但1例因并发感染而死亡,另1例经采用皮中心静脉置管(PICC)、全静脉营养和部分静脉营养支持以及抗感染等方法治疗,103d后体重增至2440g,体格检查发育正常。结论根据临床表现协调采用多种救治措施,成功救治1例极早产儿,其抢救治疗技术达到国内先进水平,为极早产儿的救治积累宝贵经验。

Objective To explore the clinical treatment of extremely low birth weight newborns. Methods The clinical manifestations of extremely low birth weight newborns was analyzed and comprehensive therapeutic measures were adopted. Results Two extremely low birth weight newborns of premature birth were treated and the body weight gained after treated and nursed for a period of 103 days. One of the infant died due to complicated infection . The other infant was treated by using the measures of PICCV, entire intravenous supply of nutrition and partial intravenous supply of nutrition, anti - infections, etc. and the body weight of the newborn t increased to 2440g and develops normally. Conclusion A extremely low birth weight newborn was successfully treated by adopting comprehensive measures based on the clinical manifestations and experience has been provided for management of premature newborns.