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小于孕周胎儿:他们真的是个问题吗?

Small for dates babies: are they really a problem?

作者信息

Jones R A, Roberton N R

出版信息

Arch Dis Child. 1986 Sep;61(9):877-80. doi: 10.1136/adc.61.9.877.

DOI:10.1136/adc.61.9.877
PMID:3767416
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1778011/
Abstract

One hundred and sixty four infants less than 5th centile for gestation specific birth weight were born at gestations greater than or equal to 37 weeks in the Cambridge Maternity Hospital in 1982. Of these, 60 were less than 2-3rd centile--that is, greater than 2 standard deviations below mean birth weight. Serious disease was rare: only six (4%) had recognisable malformations. There was only one neonatal death, a baby less than 2-3rd centile with the Neu-Laxova syndrome. Nine (5%) became hypoglycaemic but with no serious symptoms: one of these was already on the neonatal unit with respiratory distress syndrome and was given intravenous dextrose, and the remaining eight all responded to milk feeds. Only 13 out of the 164 patients (8%) were admitted to the neonatal unit, eight of the 12 survivors for 48 hours or less. Small for dates babies of 37 weeks' gestation or more pose few neonatal problems and can be safely cared for on a postnatal ward.

摘要

1982年,在剑桥妇产医院出生的164名小于特定孕周出生体重第5百分位数的婴儿,其孕周大于或等于37周。其中,60名小于第2 - 3百分位数——即低于平均出生体重超过2个标准差。严重疾病罕见:只有6名(4%)有可识别的畸形。仅有1例新生儿死亡,是1名患有Neu - Laxova综合征的小于第2 - 3百分位数的婴儿。9名(5%)出现低血糖但无严重症状:其中1名已因呼吸窘迫综合征入住新生儿病房,接受了静脉输注葡萄糖治疗,其余8名对喂奶均有反应。164例患者中只有13例(8%)入住新生儿病房,12名存活者中有8名住院时间为48小时或更短。孕周37周及以上的小于胎龄儿几乎没有新生儿问题,可在产后病房得到安全护理。

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引用本文的文献

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Hypoglycaemia of the newborn: a review.新生儿低血糖症:综述
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2
Establishment of an intermediate care ward for babies and mothers.
Arch Dis Child. 1987 Jun;62(6):597-600. doi: 10.1136/adc.62.6.597.
3
Small for dates babies: are they really a problem.
Arch Dis Child. 1987 Mar;62(3):318-9. doi: 10.1136/adc.62.3.318-a.

本文引用的文献

1
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