新生儿疾病neonatal disease培训讲学.pptVIP

Definition of Neonate(2): related to BW （measure within 1st hour after birth） Tiny baby BW1000g Very low birth weight BW1500g Low birth weight BW2500g Normal birth weight BW2500～4000g Large baby (macrosomia) BW4000g Definition of Neonate(3): related to both GA BW Small for gestational age SGA 小于胎龄儿 Appropriated for gestational age AGA 适于胎龄儿 Large for gestational age LGA 大于胎龄儿 Definition of Neonate(4): related to age Early baby (perinatal baby):早期新生儿 neonate in first 7 days Late baby : 晚期新生儿 above 7 days Definition of Neonate(5): High risk baby 高危新生儿 Is the baby who have severe conditions and need intensive care after birth, usually are those with maternal disease or abnormal delivery history. e.g, preterm baby, asphyxia （窒息）, congenital disease（先天性疾病），ect. Some Common Diseases Hyaline Membrane Disease (HMD) Asphyxia Hypoxic ischaemic encephalopathy(HIE) Pneumonia Pulmonary Hemorrhage Jaundice 新生儿黄疸 (Neonatal Jaundice) Definition The yellow skin and mucus because of too high concentration of bilirubin in the blood. Two types of neonatal jaundices neonatal jaundices physiological pathological 生理性黄疸 病理性黄疸 case 1 李X,10 days, female,preterm neonate onset of jaundice, 3 days after birth total bilirubin:13.5mg/dl direct bilirubin:1.4mg/dl birth weight:2.4kg, now weight:2.8kg fed well, sleep well no fever, no cyagnosis, no diarrhea. Comparison Item Physiological Pathological onset time 2-3 d 1 d bilirubin level 12.9mg/dl term 15mg/dl preterm 12.9mg/dl term 15mg/dl preterm increase velocity 5mg/dl 5mg/dl direct bil level 2mg/dl 2mg/dl disappear time 2 w t