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随着早产儿医学的快速发展,出生体重小于1,000g、胎龄小于28周的“超未熟儿”(以下简称ICD)的死亡率已下降到59.8%。然而,ICD的预后仍不乐观,且出生率及住??院数有逐年增加趋势,有关ICD的临床管理已引起广泛重视。本文仅就ICD的体温管理、呼吸管理、水电解质及营养管理等方面加以介绍。ICD的体温管理按体表面积计算,ICD生后2周内基础代谢率低,产热能力差。糖原及脂肪贮存不足,糖原3/4是在妊娠后期贮存的,脂肪在胎龄25周时还不到体重的1%。由于ICD的四肢处于伸展状态,体表面积相对大,皮下脂肪层薄,
With the rapid development of medicine in premature infants, the mortality rate of “superfamily” (hereinafter referred to as ICD) with birth weight less than 1,000g and gestational age less than 28 weeks has dropped to 59.8%. However, the prognosis of ICD is still not optimistic, and the birth rate and hospital number have a trend of increasing year by year. The clinical management of ICD has drawn wide attention. This article only on the ICD’s temperature management, respiratory management, water and electrolyte and nutrition management to be introduced. ICD body temperature management according to body surface area calculation, ICD 2 weeks after birth, the basal metabolic rate is low, poor heat production. Glycogen and fat storage, glycogen 3/4 is stored in late pregnancy, fat at 25 weeks of gestation, less than 1% of body weight. As the limbs in the ICD is stretched, the body surface area is relatively large, thin subcutaneous fat layer,