摘要
目的:探讨临床早产低体重儿管理治疗经验,提高其存活率和生存质量。方法:对51例早产低体重儿的临床资料和综合处理进行回顾性分析。结果:治愈30例,占58.8%;好转7例,占13.7%;自动出院8例,占15.7%;死亡6例,占11.8%,其中5例死于呼吸衰竭,肺出血。其中3例有硬肿症,3例为极低体重儿;孕周<32周者3例;1例有宫内发育迟缓,1例有新生儿窒息史,1例有感染史,1例有抽搐史(颅内出血待排)。早产儿死亡率与孕周、体重密切相关,并发硬肿症者死亡率更高。结论:重视早产低体重儿的体温、营养、感染,严密而细致的临床管理,并积极预防及治疗并发症是提高早产低体重儿存活率的关键。
Objective: To investigate the clinical management and proper treatment of premature and low birth weight infants, to enhance the survival rate and improve the living quality. Methods: Data of clinical comprehensive treatments of the 51 cases premature and low birth weight infants were analyzed retrospectively. Results: Thirty cases were cured and 7 cases were improved, accounting for 83% and 13.7% respectively; 8 cases gave up treatment, accounting for 15.7% ; 6 cases died, accounting for 11.8%. Of the 6 died infants, 5 cases died of respiratory failure and pulmonary hemorrhage; 3 cases were sclerema neonatorum, 3 cases were very low birth weight infants; 3 cases' gestational age was less than 32 weeks, 1 case had intrauterine growth retardation, 1 case had asphyxia history of birth, 1 case had infection history , 1 case had convulsion history ( suspected intracranial hemorrhage). The mortality rate of premature infants had close relation with gestational age, birth weight and sclerema neonatorum. Conclusion: The crucial measures to enhance survival rate of premature and low birth weight infants are to keep suitable temperature, provide proper nutrient and prevent infection , practice strict and delicate clinical management, prevent and treat complications aggressively.
出处
《海南医学院学报》
CAS
2008年第4期367-369,共3页
Journal of Hainan Medical University
关键词
婴儿
早产
婴儿
出生时低体重
婴儿死亡率
治疗
Infants, premature
Infants, low birth weight
Mortality of infant
Treatment