极低出生体重儿22例的临床治疗

    Treatment of very low birth weight infants: a report of 22 cases

    • 摘要: 目的:探讨极低出生体重儿的临床治疗方法。方法:对22例极低出生体重儿的临床表现进行分析,并采取恒温箱保暖复温、监护呼吸、控制血糖、维持电解质酸碱平衡等综合治疗,对有高胆红素血症患儿给予蓝光治疗及营养管理。结果:平均住院32 d,存活出院18例,死亡2例,自动出院2例。结论:极低出生体重儿的治疗应着重加强保暖,严密监护呼吸,给予合理的喂养及静脉营养,积极治疗各种并发症。

       

      Abstract: Objective:To explore the clinical therapy for treatment of very low birth weight infants.Methods:The clinical manifestation of 22 very low birth weight infants was analyzed.Comprehensive therapy such as incubator rewarming,respiratory monitoring,blood glucose controlling and electrolyte acid-base balance maintaining was given during the inpatient care;and the cases with hyperbillrubinemia received blue-ray treatment and nutrition management in addition.Results:The average hospital stay was forty-two days.Eighteen cases were discharged alive,two cases died and two cases left without permission.Conclusions:The treatment of very low birth weight infants should focus on warm-keeping,breathing care,reasonable feeding,and intravenous nutrition.Active management of various complications should also be emphasized.

       

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