随着我国医学科学的进步和新生儿重症监护水平的提高,胎龄小于28周的超早产儿(extremely preterm infants)抢救成功率逐年上升,如何保证他们从宫内至宫外的平稳过渡、达到理想的生长状态从而改善远期预后成为我们新生儿科医生面临的挑战,值得我们去探索和实践。一、充分认识早期营养的必要性目前推荐早期积极的肠外营养策略以避免早产儿的代谢危机和早期的营养不良。但肠外营养不应 With the advancement of medical science in our country and the improvement of neonatal intensive care, the success rate of rescuing extremely preterm infants with gestational age less than 28 weeks increases year by year, and how to ensure their smooth transition from intrauterine to extrauterine The ideal growth status to improve long-term prognosis becomes a challenge for our neonatologists and deserves to be explored and practiced. First, the full understanding of the need for early nutrition Currently recommended early active parenteral nutrition strategies to prevent metabolic crisis in preterm children and early malnutrition. But parenteral nutrition should not