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晚期早产儿:一个高危群体。

The Late Preterm: A Population at Risk.

作者信息

Williams Julie E, Pugh Yvette

机构信息

Department of Neonatology, The Johns Hopkins Hospital, The Charlotte R. Bloomberg Children Center Building, 1800 Orleans Street, Baltimore, MD 21287, USA.

Department of Pediatrics, Community Neonatal Associates, Holy Cross Hospital, 1500 Forest Glen Road, Silver Spring, MD 20910, USA.

出版信息

Crit Care Nurs Clin North Am. 2018 Dec;30(4):431-443. doi: 10.1016/j.cnc.2018.07.001. Epub 2018 Oct 16.

Abstract

Late preterm infants (LPIs) are born between 34 0/7 and 36 6/7 weeks' gestation and account for 72% of all preterm births in the United States. Born as much as 6 weeks early, the LPI misses the critical growth and development specific to the third trimester. The loss of this critical period leaves the LPI physiologically and metabolically immature and prone to various morbidities. Common morbidities include respiratory complications, feeding difficulty, hypoglycemia, temperature instability, hyperbilirubinemia, and neurodevelopmental delays.

摘要

晚期早产儿(LPIs)出生时的孕周为34⁰/₇至36⁶/₇周,占美国所有早产的72%。晚期早产儿早产多达6周,错过了孕晚期特有的关键生长发育阶段。这个关键时期的缺失使晚期早产儿在生理和代谢上不成熟,容易出现各种疾病。常见疾病包括呼吸并发症、喂养困难、低血糖、体温不稳定、高胆红素血症和神经发育迟缓。

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