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目的 总结既往治疗经验,提高极低出生体重儿的生存率。方法 分析近10年共89例患儿,以前、后5年对比的方式探讨可行的治疗方法。结果 治愈率从35%提高至75.5%,主要体现在应用呼吸机后呼吸窘迫综合征的治愈率明显提高;重度窒息及硬肿症发生减少。结论 强调综合治疗,从出生时开展新法复苏到入院后的保暖、监护、防治各种并发症、维持内环境稳定和保证营养需求。每一个步骤都不容忽视。同时,仍需努力提高医护水平。
Objective To summarize past experience of treatment and to improve the survival rate of very low birth weight infants. Methods Analysis of 89 cases of children in the past 10 years, before and after 5 years to compare the feasibility of treatment methods. Results The cure rate increased from 35% to 75.5%, mainly reflected in the application of ventilator respiratory distress syndrome significantly improved the cure rate; severe asphyxia and sclerema decreased. The conclusion emphasizes comprehensive treatment, from the birth of new law to recovery after admission to stay warm, custody, prevention and treatment of various complications, to maintain the stability of the internal environment and ensure nutritional needs. Each step can not be ignored. At the same time, efforts are still needed to raise the level of health care.