早产低体重儿51例临床管理分析.docVIP

早产低体重儿51例临床管理分析 　　作者：王云，袁晓霞，宋竹涛 作者单位：深圳市南山区蛇口人民医院儿科，深圳 广东 518000 　　【摘要】目的：探讨临床早产低体重儿管理治疗经验，提高其存活率和生存质量。方法：对51例早产低体重儿的临床资料和综合处理进行回顾性分析。结果：治愈30例，占58.8%;好转7例，占13.7%;自动出院8例，占15.7%;死亡6例，占11.8%，其中5例死于呼吸衰竭，肺出血。其中3例有硬肿症，3例为极低体重儿;孕周32周者3例;1例有宫内发育迟缓，1例有新生儿窒息史，1例有感染史，1例有抽搐史(颅内出血待排)。早产儿死亡率与孕周、体重密切相关，并发硬肿症者死亡率更高。结论：重视早产低体重儿的体温、营养、感染，严密而细致的临床管理，并积极预防及治疗并发症是提高早产低体重儿存活率的关键。 　　【关键词】 婴儿 早产 婴儿 出生时低体重 婴儿死亡率 治疗 　　Study on clinical management of premature and low birth weight infants 　　WANG Yun, YUAN Xiaoxia, SONG Zhutao 　　(Department of Pediatrics, Shekou Peoples Hospital of Shenzhen Municipality, Guangdong Province Shenzhen 518000, China) 　　[ABSTRACT] Objective: To investigate the clinical management and proper treatment of premature and low birth weight infants, to enhance the survival rate and improve the living quality. Methods: Data of clinical comprehensive treatments of the 51 cases premature and low birth weight infants were analyzed retrospectively. Results: Thirty cases were cured and 7 cases were improved, accounting for 83% and 13.7% respectively; 8 cases gave up treatment, accounting for 15.7%; 6 cases died, accounting for 11.8%.Of the 6 died infants, 5 cases died of respiratory failure and pulmonary hemorrhage; 3 cases were sclerema neonatorum, 3 cases were very low birth weight infants; 3 cases gestational age was less than 32 weeks, 1 case had intrauterine growth retardation, 1 case had asphyxia history of birth, 1 case had infection history , 1 case had convulsion history (suspected intracranial hemorrhage). The mortality rate of premature infants had close relation with gestational age, birth weight and sclerema neonatorum. Conclusion: The crucial measures to enhance survival rate of premature and low birth weight infants are to keep suitable temperature, provide proper nutrient and prevent infection , practice strict and delicate clinical management, prevent and treat complications aggressively. 　　[KEY WORDS] Infants, premature; Infants,