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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.