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极低出生体重(小于或等于1500克)儿童的治疗结果

[Treatment results in children with very low birth weight (less than or equal to 1500 gram)].

作者信息

Den Ouden A L, Cats B P, Hermanns J

出版信息

Tijdschr Kindergeneeskd. 1984 Apr;52(2):53-8.

PMID:6233751
Abstract

A retrospective study of morbidity and mortality in the neonatal period was carried out in 170 neonates of low birthweight (less than or equal to 1500 grams), who were admitted to the neonatal intensive care unit of the Wilhelmina Kinderziekenhuis in Utrecht in the years 1976 to 1979; 118 of them survived (69.4%). The survival of children born by caesarean section (n = 32, 84.3%) and of small for gestational age children (n = 18, 83.2%) was higher than the total survival. Respiratory problems were most frequent (n = 151, in 82 of them mechanical ventilation was necessary) and were the most important cause of death. In 92 of the 118 surviving children (ages 1 1/2-3 1/2 years) a follow up study could be done; 42 were considered normal; 3 children had problems due to congenital malformations; 27 children had minor problems (squint and/or emotional disturbances) which were thought to be related to the neonatal period; 11 children had minor handicaps, 9 were severely handicapped.

摘要

对1976年至1979年间入住乌得勒支威廉明娜儿童医院新生儿重症监护室的170名低体重(小于或等于1500克)新生儿进行了新生儿期发病率和死亡率的回顾性研究;其中118名存活(69.4%)。剖宫产出生的儿童(n = 32,84.3%)和小于胎龄儿(n = 18,83.2%)的存活率高于总体存活率。呼吸问题最为常见(n = 151,其中82名需要机械通气),并且是最重要的死亡原因。在118名存活儿童中的92名(年龄为1.5至3.5岁)中进行了随访研究;42名被认为正常;3名儿童因先天性畸形存在问题;27名儿童有轻微问题(斜视和/或情绪障碍),被认为与新生儿期有关;11名儿童有轻度残疾,9名有严重残疾。

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