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1991年1月至1994年10月,我科共收治低出生体重儿(LBWI)74例,死亡23例,现分析报告如下。1 临床资料与结果74例LBWI中,男性41例、女性33例、早产儿57例、足月儿17例、极低体重儿(VLBWI)12例。其中有明确病因的为双胎29例,胎膜早破10例,妊高症6例,前置胎盘4例,脐带绕颈2例,劳累、重度贫血、乙型肝炎、带环妊娠各1例。胎龄≤32周21例,死亡13例;～37周36例,死亡8例;≥37周17例,死亡2例。入院时体温在35℃以下者57例,12小时内复温正常46例,死亡13例;12小时后复温11例,死亡10例。合并轻中度硬肿41例,死亡11例;重度硬肿6例,死亡6例。发生呼吸暂停25例,其中反复呼吸暂停、时间在20秒以上12例,死亡9例。合并感染20例,死亡7例,分别为败血症3例,肺炎2例,宫内感染和感染性休克各1例。本组共死亡23例,生后24小时内死亡7例;～72小时3例;～7天10例;7天以上死亡3例。出生体重≤1500克死亡8例;～2000克11例;～2500克4例。
January 1991 to October 1994, our department received a total of 74 cases of low birth weight infants (LBWI), died of 23 cases, the analysis is as follows. 1 clinical data and results 74 cases of LBWI, 41 males and 33 females, 57 preterm children, 17 full-term children, very low birth weight (VLBWI) in 12 cases. There were 29 cases of twins, 10 cases of premature rupture of membranes, 6 cases of pregnancy-induced hypertension, 4 cases of placenta previa, 2 cases of umbilical cord around neck, fatigue, severe anemia, hepatitis B and circumcised pregnancy. example. There were 21 cases of gestational age≤32 weeks and 13 cases of death; 36 cases of 37 weeks and 8 cases of death; 17 cases of ≥37 weeks and 2 cases of death. On admission, 57 patients were below 35 ° C, 46 patients returned to normal within 12 hours and 13 died. After 12 hours, 11 patients rewarmed and 10 died. There were 41 cases with mild to moderate sclerosis and 11 cases with death; 6 cases with severe sclerosis and 6 cases died. Apnea occurred in 25 cases, including repeated apnea, time in 20 seconds or more in 12 cases, 9 cases of death. 20 cases were complicated with infection and 7 died, including 3 cases of sepsis, 2 cases of pneumonia, 1 case of intrauterine infection and septic shock respectively. The group of 23 patients died of death within 24 hours after birth in 7 cases; ~ 72 hours in 3 cases; ~ 7 days in 10 cases; 7 days more than 3 deaths. Birth weight ≤ 1500 grams of death in 8 cases; ~ 2000 grams in 11 cases; ~ 2500 grams in 4 cases.