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[全球极低出生体重儿医疗护理的进展]

[Advances in medical care for extremely low birth weight infants worldwide].

作者信息

Chen Chun, Zhang Qian-Shen

机构信息

Department of Pediatrics, Shenzhen Maternity and Child Health Care Hospital, Southern Medical University, Shenzhen, Guangdong 518028, China.

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2013 Aug;15(8):703-7.

PMID:23965891
Abstract

Dramatic advances in neonatal medicine over recent decades have resulted in decreased mortality and morbidity rates for extremely low birth weight infants. However, the survival of these infants is associated with short- and long-term morbidity, including severe intraventricular hemorrhage, periventricular leukomalacia, nosocomial infection and necrotizing enterocolitis, bronchopulmonary dysplasia, retinopathy of prematurity and adverse long-term neurodevelopmental sequelae. This article reviewed the latest advances in the medical care for extremely low birth weight infants including survival rate, ethical issues and short- and long-term morbidity, domestically and abroad.

摘要

近几十年来,新生儿医学取得了巨大进展,极低出生体重儿的死亡率和发病率有所下降。然而,这些婴儿的存活与短期和长期的发病情况相关,包括严重的脑室内出血、脑室周围白质软化、医院感染和坏死性小肠结肠炎、支气管肺发育不良、早产儿视网膜病变以及长期不良神经发育后遗症。本文回顾了国内外极低出生体重儿医疗护理的最新进展,包括存活率、伦理问题以及短期和长期的发病情况。

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1
[Advances in medical care for extremely low birth weight infants worldwide].[全球极低出生体重儿医疗护理的进展]
Zhongguo Dang Dai Er Ke Za Zhi. 2013 Aug;15(8):703-7.
2
Mid- and long-term outcome of extremely low birth weight (ELBW) infants: an analysis of prognostic factors.极低出生体重(ELBW)婴儿的中长期结局:预后因素分析
J Matern Fetal Neonatal Med. 2007 Jun;20(6):465-71. doi: 10.1080/14767050701398413.
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Mortality and neonatal morbidity among infants 501 to 1500 grams from 2000 to 2009.2000 年至 2009 年间,体重 501 至 1500 克的婴儿的死亡率和新生儿发病率。
Pediatrics. 2012 Jun;129(6):1019-26. doi: 10.1542/peds.2011-3028. Epub 2012 May 21.
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[Clinical analysis of 165 extremely low birth weight infants].165例极低出生体重儿的临床分析
Zhonghua Er Ke Za Zhi. 2014 Oct;52(10):736-40.
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Outcomes of extremely low birth weight (<1 kg) and extremely low gestational age (<28 weeks) infants with bronchopulmonary dysplasia: effects of practice changes in 2000 to 2003.出生体重极低(<1千克)和胎龄极短(<28周)的支气管肺发育不良婴儿的结局:2000年至2003年实践变化的影响
Pediatrics. 2008 Jan;121(1):73-81. doi: 10.1542/peds.2007-1444.
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Neonatal outcome of inborn and outborn extremely low birth weight infants: relevance of perinatal factors.足月产和非足月产极低出生体重儿的新生儿结局:围产期因素的相关性
Isr Med Assoc J. 2008 Jun;10(6):457-61.
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The 5-minute Apgar score: survival and short-term outcomes in extremely low-birth-weight infants.5分钟阿氏评分:极低出生体重儿的生存及短期预后
J Perinat Neonatal Nurs. 2012 Apr-Jun;26(2):166-71. doi: 10.1097/JPN.0b013e31825277e9.
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Enrollment of extremely low birth weight infants in a clinical research study may not be representative.极早产儿纳入临床研究可能不具代表性。
Pediatrics. 2012 Mar;129(3):480-4. doi: 10.1542/peds.2011-2121. Epub 2012 Feb 27.
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Improved neurodevelopmental outcomes for extremely low birth weight infants in 2000-2002.2000 - 2002年极低出生体重儿神经发育结局得到改善。
Pediatrics. 2007 Jan;119(1):37-45. doi: 10.1542/peds.2006-1416.
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No improvement in outcome of nationwide extremely low birth weight infant populations between 1996-1997 and 1999-2000.1996 - 1997年至1999 - 2000年期间,全国极低出生体重婴儿群体的预后情况没有改善。
Pediatrics. 2007 Jan;119(1):29-36. doi: 10.1542/peds.2006-1472.

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