120例住院低出生体重儿的临床分析

120例低出生体重儿的临床分析表明,新生儿窒息的发生率高,患病后预后严重,总病死率30.8％,胎龄越小,死亡率越高。常见临床症状依次为:低体温和硬肿症、感染、呼吸障碍,以及生活能力低下、黄疸、惊厥、消化功能紊乱等。直接死亡原因为肺出血和呼吸衰竭。减少和防止早产、胎儿宫内发育迟缓和围产儿窒息,积极、有效地处理上述临床问题,将会降低围产儿死亡率及其后遗症。

CLINICAL PROBLEMS OF LOW BIRTH WEIGHT NEONATES

Clinical analysis of 120 cases of low birth weight neonates showed that incidence of neonatal asphyxia is higher than term neonates. Motality in ill infants is 30. 8% ,the more the motality the shorter the gestational age when gestational age is less than 40 weeks. Common clinical problems encountered were hypothermia and scleredema 51. 6%, infections 42. 5%, respiratory distress 21. 6% and others such as low vitality 12. 5%, jaundice 10% as well as seisures, digestive function disturbance, policythemia and so on. Directive cause of death were pulmonary hemorrhage and respiratory failure. Preventing and reducing premature, fetal intrauterine retardation and perinatal asphyxia as well as actively effective management of the clinical problems mentioned above would decrease perinatal death and disabilities.