一例500克超低出生体重儿的成功救治与随访  

Successful treatment and follow-up of one 500 gram extremely low birth weight infant

作　　者：高喜容[1] 杨慧[1] 黄玫[1] 刘新晖[1] 吴运芹[1] 祝益民 董静 

机构地区：[1]湖南省儿童医院新生儿科,长沙410007 [2]急救中心

出　　处：《中华围产医学杂志》2009年第5期355-358,共4页Chinese Journal of Perinatal Medicine

摘　　要：目的总结中国大陆地区首例500g超低出生体重儿（ELBWI）的临床特征、诊疗经验及预后，以进一步提高对ELBWI临床问题的认识及救治水平。方法分析我院2006年成功救治的1例出生体重500gELBWI的住院治疗和随访资料。结果该患儿共住院139d，出院时体重2710g，新生儿神经行为评分38分，体格、智力发育良好。随访至纠正年龄18个月，患儿体格与智力发育正常。结论ELBWI并发症多，正确处理新生儿呼吸窘迫综合征、慢性肺疾病、感染及早产儿视网膜病，避免坏死性小肠结肠炎、囊性脑室周围白质软化的发生，开展早期干预，是成功救治该患儿并使其健康存活的关键。Objective To summarize the clinical ieaturs, experience m diagnosis and treatment and prognosis of the first survival case of an extremely low birth weight infant （ELBWI） with the birth weight of 500 g in China to improve the management of ELBWI. Methods The clinical data and follow up of one neonate with birth weight 500 g, who successfully survived in our hospital in 2006, were collected and analyzed. Results The birth weight of this infant is 500 g. After hospitalization of 139 days, his body weight reached 2710 grams, and the neonatal behavioral neurological assessment scored 38. Physical and intelligence development was good. At the age of 18 months, the physical and intelligence development of this infant became normal. Conclusions There were many complications in ELBWI. Healthy survival of this infant depended on the treatment of neonatal respiratory distress syndrome, chronic lung disease, infection and retinopathy of prematurity necrotizing enterocolitis as well as cystic-periventricular leukomalacia, and early developmental care was also important.

关 键 词：婴儿 超低出生体重 婴儿 早产 呼吸窘迫综合征 新生儿 视网膜病 早产儿 随访研究 

分 类 号：R722.6[医药卫生—儿科]