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早产、VLBWI病死率极高，过去国内报告在63％～74％，近十年来随着围产医学的发展及NICU的建立，VLBWI的病死率逐渐下降。我科收治的VLBWI138例，平均胎龄33周，平均出生体重1283克，均合并一种以一疾病，其中最多为呼吸系统疾病，包括呼吸暂停症、肺透明膜病、肺炎。其次为硬冲症、血液系统疾病、窒息。入院后均进入NICU单位，多功能生理监护仪监测心率、呼吸、无创血压、经皮血或他和反、体温等。医护人员持续床边监护，严把保温、营养、呼吸、黄鱼和感染三关，疗效佳，138例中存活出院110例，平均住院24天，死亡28例，病亡率2029％为国内较低水平，本文显示VL尽WI呼吸问．题最多，严密监护妥善处理呼吸问题是降低VLBWI病死率的关键。
Premature delivery, VLBWI high mortality, in the past 63% ~ 74% of domestic reports, with the development of perinatal medicine and NICU in the past decade, VLBWI mortality decreased. Our department treated VLBWI138 cases, the average gestational age of 33 weeks, the average birth weight of 1283 grams, are combined with a disease, most of them respiratory diseases, including apnea, hyaline membrane disease, pneumonia. Followed by constipation, blood diseases, suffocation. Into the hospital after entering the NICU unit, multi-function physiological monitor heart rate, respiration, non-invasive blood pressure, transcutaneous blood or he and anti-body temperature. Health care workers continued bedside custody, strict insulation, nutrition, respiration, yellow croaker and infection three, good effect, 138 cases were discharged from the hospital in 110 cases, the average hospital stay 24 days, 28 died, the mortality rate of 2029% for the domestic low Level, this article shows that VL do WI breathing ask. The most questions, close monitoring Carefully deal with breathing problems is to reduce the critical VLBWI mortality.