早产、极低出生体重儿138例临床分析

Clinic Analysis of 138 Premature and Very low birth weight Infants

为降低极低体重儿的死亡率. 方法 本文分析了我科NICU自1992年1月～1996年6月间收治的早产、极低出生体重儿138例临床资料. 结果 平均胎龄33周,平均出生体重1 283g,均合并一种以上疾病,经保温、营养、呼吸管理、消除黄疸和抗感染妥善处理,存活出院110例(79.71%),3例出生体重800g者全部存活.本组VLBWI合并呼吸系疾病最多. 结论 监护处理呼吸问题是降低VLBWI病死率的关键.

To reduce the mortality of very low birth weight infant VLBWI. Methods A the clinical data of 138 premature and (VLBWI) hospitalized i our department during Jun,1991 and Jun,1996 were analyzed in this article. Result The mean of ges-tational age and birth weight was respectively 33 weeks and 1283g. All of the infants were suffered from one disease or more. With carefull managements of heat preservation warming, nutrition, respiration, hyperbilirubinemia and infection, the survive rate was 79. 71% (110/138). 3 VLBWI of 800g birth weight are survive. We found that the most frequent implications of the VLBWI were of respiatory system diseases. Conclusion The important role to reduce the mortality is the monitoring and management of respiration.