早产儿98例临床干预体会

目的: 探讨早产儿临床管理方面的问题,进一步降低其病死率。方法: 回顾分析98例早产儿临床资料。结果: 98例早产儿均有不同程度的并发症,包括高胆红素血症、寒冷损伤综合征、肺炎、呼吸暂停、低血糖、低血钙、颅内出血、肺出血、败血症、化脓性脑膜炎、脑室膜炎。痊愈82例,病死16例,病死率16.33%;胎龄≤ 32周病死率明显>32周者(P<0.01);出生体重低于1 500 g者病死率明显高于出生体重大于1 500 g者(P<0.05)。死亡原因主要有肺出血、颅内出血、肺炎、败血症合并化脓性脑膜炎。结论: 早期识别、正确处理早产儿并发症是降低早产儿病死率的重要措施。

Clinical interventions in 98 premature infants

Objective:To discuss the clinic value of management of the premature infants.Methods:The clinical data of 98 premature infants were reviewed.Results:Ninty-eight cases have different degrees of complications,including hyperbilirubinemia,cold injury syndrome,pneumonia,apnea,hypoglycemia,hypocalcemia,intracranial hemorrhage,pulmonary hemorrhage,septicemia,purulent meningitis,and ventriculitis.Eighty-two cases have recovered from illness.Sixteen cases have died.Death rate is 16.33%.Death rate of fetal age less than 32 weeks was obviously higher than that of more than 32 weeks(P<0.01).Death rate of birth weight less than(1 500 g) was obviously higher than that of more than 1 500 g(P<0.05).The causes of death were mainly pulmonary hemorrhage,intracranial hemorrhage,pneumonia,septicemia and purulent meningitis.Conclusions:Distinguish early and treat correctly the complications of the premature infant is the main measure to reduce the death rate of the premature infant.