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早产儿是指出生时胎龄<37周的新生儿,其中出生体重<1 500 g者为极低出生体重儿(VLBW),<1 000 g为超低出生体重儿(ELBW)。在早产儿中,胎龄<32周或出生体重<1 500 g者临床问题较多,病死率较高,是早产儿管理的重点。1出生前和出生时的处理1.1了解病史对可能发生早产者,要尽早详细询问病史,了解孕母和胎儿情况,早产的可能原因,做好促胎肺成熟的预防,评估分娩时可能发生的情况,作好出生时的处理准备。对胎龄<32周或孕母有严重妊娠
Preterm birth refers to newborns with gestational age <37 weeks at birth, with VLBW <1 000 g for birth weight <1 000 g and ELBW <1 000 g for ELBW. In preterm children, gestational age <32 weeks or birth weight <1 500 g are more clinical problems, high mortality, is the focus of management of premature children. 1 prenatal and at birth 1.1 understand the medical history of possible premature birth, as soon as possible to ask history, understand the situation of pregnant mothers and fetuses, the possible causes of premature delivery, do a good job in the prevention of fetal lung maturity, assessment of possible childbirth Situation, ready for handling at birth. Severe pregnancy on gestational age <32 weeks or pregnant mothers