胎龄22周超未成熟儿3例成功救治经验  

Successful treatment of 3 cases of 22-week extremely premature infants

作　　者：余彦亮 龚文涛 刘念 付永萍 赵捷 林冰纯 黄智峰 杨传忠 Yu Yanliang;Gong Wentao;Liu Nian;Fu Yongping;Zhao Jie;Lin Bingchun;Huang Zhifeng;Yang Chuanzhong(Department of Neonatology,Affiliated Shenzhen Maternity&Child Healthcare Hospital,Southern Medical University,Shenzhen 518000,China)

机构地区：[1]南方医科大学附属深圳妇幼保健院新生儿科,深圳518000

出　　处：《中华新生儿科杂志（中英文）》2022年第5期448-451,共4页Chinese Journal of Neonatology

基　　金：广东省高水平临床重点专科(深圳市配套建设经费)(SZGSP009);深圳市“医疗卫生三名工程”资助项目(SZSM201612045)。

摘　　要：目的探讨胎龄<23周超未成熟儿的救治经验。方法回顾性分析2021年1~11月南方医科大学附属深圳妇幼保健院救治的胎龄<23周超未成熟儿,总结救治经验。结果共纳入3例胎龄22周超未成熟儿,男2例,女1例,出生体重450~498 g,住院时间112~126 d,经过早期“温和”管理策略、呼吸管理、抗感染、动脉导管未闭的治疗,以及肠外、肠内营养支持,均脱氧出院,经口喂养吸吮好,随访无神经系统后遗症表现。结论对各器官发育极不成熟的胎龄<23周超未成熟儿,早期“温和”管理是救治成功及良好预后的关键。Objective To review the treatment experience of extremely premature infants(EPIs)with gestational age(GA)<23 weeks.Methods From January to November 2021,EPIs with GA<23 weeks treated in our hospital was retrospectively analyzed.Results A total of 3 patients with GA of 22 weeks were reviewed,including 2 boys and 1 girl.Their birth weight(BW)was 450~498 g.The duration of hospitalization was 112~126 d.The treatment included early"gentle"management strategies,respiratory management,anti-infection,patent ductus arteriosus treatment and parenteral+enteral nutrition.All 3 infants were discharged from the hospital without further oxygen therapy.All had satisfying oral feeding with no neurological sequelae on follow-up.Conclusions Early"gentle"management is the key to successful treatment and good prognosis for EPIs with GA<23w.

关 键 词：婴儿 早产 超未成熟儿 温和管理 

分 类 号：R722.6[医药卫生—儿科]