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早产儿１７３例病因探讨山西省儿童医院（０３００１３）杨爱云，黄顺翠，王雪敏我院自１９８４年～１９８６年共收治新生儿３３８６例，其中早产儿１７３例，占５．１％。而早产儿死亡率至今仍高达２０％左右［２］。成为降低围产期死亡率主要环节之一。本文结合临床探讨早产儿发病因素及常见病诊疗，为今后早产儿防治提供参考。临床资料一、一般资料：男１０４例，女６９例；早期早产儿６８例（孕２６～３０周），中期早产儿（３０～３４周）６９例，晚期早产儿（３４～３７周）９６例；体重１５００克１３例，２５００克１５３例（占８８％），≥２５００克７例。二、发病因素及主要合并症：①发病因素：胎膜早破４３例（２４．９％），第二胎以上（２０．２％），孕母流感１３例（８．９％），外伤１２例（７．５％），双胎１１例（６．４％），妊高症１１例（６．４％），产前出血４例（２．３％），贫血４例（２．３％），孕母心脏病２例（１．２％），精神紧张２例（１．２％），不明原因等３６例（２０．３％）。②主要合并症：肺炎８９例（５１．４％），硬肿症７８例（４５％），产时窒息３６例（２０．８％），败血症２９例（１６．９％），高胆１８例（１０．４％），颅内出血１２例（６．
173 cases of premature children etiology Shanxi Children’s Hospital (030013) Yang Aiyun, Huang Shun Cui, Wang Xuemin hospital from 1984 to 1986, a total of 3386 newborns were treated, of which 173 cases of preterm children, accounting for 5.1%. Premature infant mortality rate is still as high as 20% [2]. Become one of the main steps to reduce perinatal mortality. In this paper, clinical diagnosis of premature infants and common diseases diagnosis and treatment for future prevention and treatment of premature children provide a reference. Clinical data First, the general information: 104 males and 69 females; 68 cases of early preterm birth (26-30 weeks pregnant), 69 cases of preterm infants (30-34 weeks), late preterm infants (34-37 weeks) 96 Cases; weight 1500 grams in 13 cases, 2500 grams in 153 cases (88%), ≥ 2500 grams in 7 cases. Second, the incidence of factors and major complications: ① factors: premature rupture of membranes in 43 cases (24.9%), the second child (20.2%), 13 cases of pregnant women (8.9%), trauma 12 cases (7.5%), twins in 11 cases (6.4%), pregnancy induced hypertension in 11 cases (6.4%), prenatal bleeding in 4 cases (2.3%) and anemia in 4 cases (2 cases). 3%), 2 cases of heart disease (1.2%), 2 cases of mental stress (1.2%) and 36 cases (20.3%) of unknown reasons. ② Major complications: 89 cases (51.4%) of pneumonia, 78 cases (45%) of sclerema, 36 cases (20.8%) of aspartate asphyxia, 29 cases (16.9%) of sepsis, Cases (10.4%), intracranial hemorrhage in 12 cases (6.