| 54例极低出生体质量儿临床处理 |
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| 引用本文： | 李晓慧. 54例极低出生体质量儿临床处理[J]. 中国医药导报, 2011, 8(26): 153-155 |
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| 作者姓名： | 李晓慧 |
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| 作者单位： | 武汉市第五医院儿科,湖北武汉,430050 |
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| 摘 要： | 目的：探讨影响极低出生体质量儿发生率的相关因素，提高极低出生体质量儿（VLBWI）存活率及临床治疗水平。方法：对2005—2010年我科收治的54例VLBWI的临床资料进行回顾性分析。结果：极低出生体重儿发生的主要原因有妊娠高血压综合征及其并发症15例（27．7％）、胎膜早破10例（18．5％）、多胎妊娠（14．8％）、前置胎盘出血5例（9．3％）。54例VLBWI中45例治愈（79．6％），7例（12．9％）放弃，院内死亡4例（7．4％），存活率79．6％。其中造成预后不良的主要疾病是呼吸窘迫综合征、脑室内出血、败血症等。呼吸道管理与营养支持是VLBWI两大关键问题。结论：尽可能降低VLBWI的发生率。VLBWI的转归可能与发生并发症及严重程度相关。及时恰当的出生时复苏和对各种并发症的正确处理是提高极低出生体质量儿存活率的保障。死亡的主要原因是呼吸窘迫综合征、脑室内出血和败血症。
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| 关 键 词： | 极低出生体质量儿 并发症 存活率 胃肠外营养 |
Clinical treatment of 54 cases of very low birth weight infant |
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| LI Xiaohui. Clinical treatment of 54 cases of very low birth weight infant[J]. China Medical Herald, 2011, 8(26): 153-155 |
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| Authors: | LI Xiaohui |
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| Affiliation: | LI Xiaohui Department of Pediatrics,the Fifth Hospital of Wuhan City,Hubei Province,Wuhan 430050,China |
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| Abstract: | Objective:To study the effects of very low birth weight infant(VLBWI) incidence rate of factors.Methods: 54 cases with VLBWI clinical data from 2005 to 2010 in our neonatal intensive care unit were retrospectively analyzed.Results: The major risks factors of 15 cases were gestational hypertension and complication(27.7%),10 cases were premature rupture of membrane(18.5%),multiple pregnancy(14.8%),5 cases were placental presentation(9.3%).45 cases were cured(79.6%),7 cases had given up(12.9%),4 cases were of ... |
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| Keywords: | Very low birth weight infant Complication Survival rate Parenteral nutrition |
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