论文部分内容阅读
目的:分析超低出生体质量儿(ELBWI)围产期因素、临床特点、合并症及并发症发生情况,探讨提高ELBWI存活率的方法。方法:回顾性分析44例ELBWI的临床资料,根据预后分为存活组和死亡组,比较两组围产期因素、临床特点、治疗方法、合并症及并发症的差异。结果:44例ELBWI存活30例,其中治愈17例(38.6%),好转13例(29.5%),死亡及放弃治疗后死亡14例(31.8%)。结果表明胎龄小、围生期窒息、Ⅲ~Ⅳ期新生儿呼吸窘迫综合征(RDS)、休克、颅内出血、高血糖症及一周内顽固性高血糖症为ELBWI死亡的高危因素。结论:加强孕期保健,预防早产,降低窒息及RDS的发生率,对ELBWI进行合理的救治及管理,早发现、早治疗各种并发症,可提高ELBWI的存活率及生存质量。
OBJECTIVE: To analyze perinatal factors, clinical features, complications and complications of ELBWI and discuss the ways to improve the survival rate of ELBWI. Methods: The clinical data of 44 patients with ELBWI were retrospectively analyzed. According to the prognosis, the patients were divided into survival group and death group. The differences of perinatal factors, clinical features, treatment methods, complications and complications between the two groups were compared. Results: Forty - four patients with ELBWI survived in 30 cases, of which 17 (38.6%) were cured, 13 (29.5%) were cured, and 14 (31.8%) died after giving up their treatment. The results showed that gestational age, perinatal asphyxia, stage Ⅲ ~ Ⅳ neonatal respiratory distress syndrome (RDS), shock, intracranial hemorrhage, hyperglycemia and intractable hyperglycemia in one week risk factors for ELBWI death. Conclusion: To strengthen prenatal care, prevent premature birth, reduce the incidence of asphyxia and RDS, and to make reasonable treatment and management of ELBWI, early detection and early treatment of various complications can improve the survival rate and quality of life of ELBWI.