成功救治并随访1例27周800克超低出生体重儿

摘要

Objective To analyze and summarize the medical treatment experience following the first survival case of an extremely low birth weight infant (ELBWI)with the birth weight of 800g in Yangzhou. Methods The clinical data and follow up of one neonate with birth weight 800 g ,who successfully survived in our hospital in 2012 ,were collected and analyzed. Results The infant experienced the respiratory distress syndrome (RDS),apnea ,pneumonia ,sepsis and anemia .After hospitalization of 60 days ,her body weight reached 1890 g . Physical and intelligence development was good .At the age of 12 months ,the physical and intelligence development of this infant became normal. Conclusion In order to control infection or maintain the stability of the internal environment ,the vital signs and the objective indexes were monitored continually ,such as blood routine test ,C reactive protein ,bacterial culture ,and blood gas analysis et c . The early developmental anomaly can be find through regular follow-up after discharge .Early intervention can improve the outcome of the ELBWI.%目的：探讨超低出生体重儿的治疗经验。方法分析1例27周800 g女婴的住院治疗和随访资料。结果该患儿共住院60 d，入院后出现肺透明膜病、呼吸暂停、新生儿肺炎、败血症、贫血等并发症，出院时体重1890 g，体格、智力发育良好。随访至纠正年龄12个月，患儿体格与智力发育正常。结论呼吸衰竭、严重感染是超低出生体重儿常见的死亡原因；除加强患儿生命体征的监护外，通过加强客观指标的监测，如血常规、C反应蛋白、血培养、痰培养、血气分析、血糖、胸片、体重等，可早期发现和控制感染，维持患儿内环境的稳定；出院后定期随访，可早期发现发育异常，及时干预，减少后遗症。