超低出生体重儿临床抢救转归分析  

Early therapeutic prognosis of clinical treatment and outcome of extremely low birth weight infants

作　　者：宋燕燕[1] 赵小朋[1] 陈燕霞[1] 黄少敏[1] 叶青青[1] 黄翠玲[1] 李坚[1] 黄志坚[1] 

机构地区：[1]广州市妇婴医院新生儿科,510180

出　　处：《中国新生儿科杂志》2008年第1期23-25,共3页Chinese Journal of Neonatology

摘　　要：目的探讨提高超低出生体重儿(ELBWI)治愈率及减少并发症的方法。方法对2000年1月至2006年4月间收治入新生儿科救治的ELBWL25例进行回顾性分析。结果25例患儿治愈7例、好转1例、死亡4例、放弃13例。近3年存活率80%,较前4年存活率57.1%有一定程度的上升。ELBWL最常见的合并症仍然是新生儿肺透明膜病(50%)、脑室内出血(50%)、新生儿感染(75%)。死亡病例组中,发生新生儿硬肿症、新生儿高胆红素血症、新生儿消化道出血、肺出血、新生儿休克、新生儿窒息、弥漫性血管内凝血等均较存活组发生高。结论ELBWI转归可能与发生并发症及严重程度相关,RDS、颅内出血及感染仍为当前关注的问题,整体医疗水平提高是抢救成功的关键。Objective To study how to improve the recovery rate and minimize complications of extremely low birth weight infants （ELBWI）. Methods There were 25 ELBWI admitted to our NICU between January 2000 and April 2006. The cases were analyzed retrospectively. Results Among the 25 cases, 7 of them recovered, 2 improved, 4 died and 12 of that withdrew of treatment. The survival rate of ELBWI in last 3 years have improved compared with those 4 years ago. The most common complications of ELBWI were still respiratory distress syndrome （RDS） （50% to 54. 5% ）, intra-ventricular hemorrhage （35.7% to 45.5% ） and neonatal infection （75%）. The incidence of neonatal anemia which occurred in almost all survivors in late neonatal period was higher than the overseas report. The incidences of sclerema neonatorum, hyperbilirubinemia, gastrointestinal hemorrhage, pulmonary hemorrhage, shock, asphyxia and DIC in demised group were higher than that in survival group. Conclusions The outcome of ELBWI is probably relative to incidence and the severity of its complications. Complications like RDS, intracranial hemorrhage and infection still remain and we should focus （concentrate/attend） on these problems. The key of successful management of ELBWI is to improve comprehensive medical care.

关 键 词：婴儿 极低出生体重 临床方案 存活率 

分 类 号：R722[医药卫生—儿科]