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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.

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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