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目的:探讨极低出生体重儿(VLBWI)的围产期临床特点和存活的相关因素,分析其与预后的关系。方法:回顾性分析60例VLBWI的一般情况、母孕期情况及新生儿临床特点。结果:妊高征、胎膜早破、多胎妊娠为发生VLBWI的主要因素,肺出血、呼吸窘迫综合征、颅内出血为其死亡的主要原因,呼吸暂停、感染、高胆红素血症、呼吸窘迫综合征、贫血为其常见并发症。结论:加强高危妊娠监测,预防早产,加强产科、儿科医生的合作,早发现与及时处理并发症是改善VLBWI预后的根本措施,同时要注意改善病房环境,防止院内感染的发生。
Objective: To investigate the perinatal clinical features and survival factors of very low birth weight infants (VLBWI), and to analyze its relationship with prognosis. Methods: A retrospective analysis of 60 cases of VLBWI general situation, the situation during pregnancy and neonatal clinical features. Results: PIH, premature rupture of membranes and multiple pregnancy were the main causes of VLBWI. Pulmonary hemorrhage, respiratory distress syndrome and intracranial hemorrhage were the main causes of death. Apnea, infection, hyperbilirubinemia, respiration Distress syndrome, anemia is its common complication. Conclusion: To strengthen the monitoring of high-risk pregnancies, prevent premature birth and strengthen the cooperation of obstetric and pediatric doctors, early detection and timely treatment of complications are the fundamental measures to improve the prognosis of VLBWI. At the same time, we should pay attention to improving ward environment and preventing nosocomial infections.