1例450 g近存活期分娩儿的个体化护理

Individual nursing care of a periviable birth neonate with birth weight of 450g

总结1例胎龄23周,出生体重450 g的近存活期分娩儿的个体化护理措施,包括早期生命支持、发育支持护理、维持有效呼吸、早期营养管理、皮肤护理、预防和控制感染、母乳口腔护理与母乳喂养、锻炼离氧、训练经口喂养、家长参与式护理等。经过精心的治疗及护理,患儿顺利出院。

Individual nursing management practice of a periviable birth baby with gestational age of 23 weeks and birth weight of 450 g is reported and the literature review is summarized.Individual nursing practice includes early life support,developmental supportive care,maintenance of effective respiration,venous access and nutrition management,skin care,prevention and control of infection,oral colostrum smear,training of oxygen-independence and oral feeding,family-integrated-care.After careful treatment and nursing care,the newborn was discharged smoothly.