本文报道1977年7月～1979年6月,共收治1,500g以下极低出生体重儿21例,新生儿期存活13例,存活率达61.9%。入院时肛温28～36.8℃。随访8例,其中5例生长、智力正常;2例稍落后;1例伴巨细胞包涵体病,生长、智力落后。本文还就极低出生体重儿临床存在的问题如低温、呼吸暂停、动脉导管开放、坏死性小肠结肠炎及其处理作了讨论,并介绍了作者的临床医治体会。 This article reports from July 1977 to June 1979, a total of 1,500 g were treated with very low birth weight children in 21 cases, 13 cases of neonatal survival, the survival rate of 61.9%. Rectal temperature at admission 28 ~ 36.8 ℃. Follow-up 8 cases, of which 5 cases of growth, mental retardation; 2 cases slightly behind; 1 case with giant cell inclusion body disease, growth, mental retardation. This article also discusses the clinical problems of very low birth weight children such as hypothermia, apnea, patent ductus arteriosus, necrotizing enterocolitis and its treatment, and introduces the author’s clinical experience.