胎龄21周^(+4)超早产儿成功救治1例  

A case of successful treatment of an extremely preterm infant born at 21 weeks and 4 days of gestation

作　　者：宗海峰[1] 林冰纯[1] 黄颖穗[1] 江姗[1] 袁誉容 熊小云[1] 黄智峰[1] 杨传忠[1] Zong Haifeng;Lin Bingchun;Huang Yingsui;Jiang Shan;Yuan Yurong;Xiong Xiaoyun;Huang Zhifeng;Yang Chuanzhong(Neonatal Intensive Care Unit,Shenzhen Maternity&Child Healthcare Hospital,Shenzhen 518028,China)

机构地区：[1]深圳市妇幼保健院新生儿重症监护病房,深圳518028

出　　处：《中华围产医学杂志》2024年第10期860-864,共5页Chinese Journal of Perinatal Medicine

基　　金：深圳市科技创新项目(JCYJ20230807120201004);广东省高水平临床重点专科(SZGSP009);深圳市“医疗卫生三名工程”项目(SZSM202211001)。

摘　　要：本文报道通过辅助生殖受孕的一例出生胎龄21周^(+4)男婴的成功救治过程。经产前咨询,在父母的强烈意愿下进行了积极复苏和治疗。患儿接受了52 d机械通气,纠正胎龄28周^(+6)时拔除气管插管改用无创通气。住院期间未使用血管活性药物,未发生坏死性小肠结肠炎。纠正胎龄37周^(+4)时拔除胃管。纠正胎龄40周患儿颅脑MRI未发现异常。纠正胎龄42周,经过143 d治疗后出院,出院时不需要任何呼吸支持。随访截至纠正月龄6个月,生长发育良好。This case report described the sucussful treatment of a male infant born at 21 weeks and 4 days through assisted reproductive technology.After prenatal consultation and with the strong desire of the parents,active resuscitation and treatment were performed.The infant received 52 days of mechanical ventilation and was extubated to non-invasive ventilation at a corrected gestational age of 28 weeks and 6 days.During hospitalization,no vasoactive drugs were used,and necrotizing enterocolitis did not occur.The gastric tube was removed at a corrected gestational age of 37 weeks and 4 days.At a corrected gestational age of 40 weeks,cranial MRI showed no abnormalities.The infant was discharged at a corrected gestational age of 42 weeks after 143 days of treatment,without the need for any respiratory support.Follow-up until a corrected age of 6 months showed good growth and development.

关 键 词：胎龄 21周 生存极限 超早产 复苏 超低出生体重 

分 类 号：R722.6[医药卫生—儿科]