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出生时体重1000克或以下婴儿的预后。

Prognosis for infants weighing 1000 g or less at birth.

作者信息

Stewart A L, Turcan D M, Rawlings G, Reynolds E O

出版信息

Arch Dis Child. 1977 Feb;52(2):97-104. doi: 10.1136/adc.52.2.97.

Abstract

During the 10 years 1966-1975, 148 infants weighing less than or equal to 1000 g were admitted to the Neonatal Unit of University College Hospital. 48 (32%) survived the neonatal period. The neonatal survival rate for infants weighing less than or equal to 750 g was 8% and for infants weighing 751-1000 g, 41% 9 infants died later, leaving 39 (26%) long-term survivors, all of whom are being followed-up. The progress of the 27 older children, born in 1966-74 (median birthweight 899 g, range 648-998 g; median gestational age 28 weeks, range 24-35 weeks), was assessed at ages between 15 months and 8 years (median 3 years). No abnormalities were detected in 21 infants (78%): 2 (7%) had major handicaps and 4 (15%) minor handicaps. We conclude that provided intensive care methods are available, the prognosis for infants weighing less than or equal to 1000 g is now better than in the past.

摘要

在1966年至1975年的10年间,148名体重小于或等于1000克的婴儿被收治入大学学院医院新生儿科。48名(32%)婴儿存活至新生儿期。体重小于或等于750克的婴儿新生儿存活率为8%,体重751 - 1000克的婴儿存活率为41%。9名婴儿后来死亡,留下39名(26%)长期存活者,所有这些存活者都在接受随访。对1966 - 1974年出生的27名较大儿童(中位出生体重899克,范围648 - 998克;中位胎龄28周,范围24 - 35周)在15个月至8岁(中位年龄3岁)之间进行了发育评估。21名婴儿(78%)未发现异常:2名(7%)有严重残疾,4名(15%)有轻度残疾。我们得出结论,只要有重症监护方法,体重小于或等于1000克的婴儿的预后现在比过去要好。

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