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通过总结1997年1月至2001年12月我院儿科NICU极低出生体重儿(VLBWI)的收治情况,并与前5年进行比较,结果显示VLBWI收治数增加;呼吸系统疾病发生率降低,如窒息的发生率自62.1％减少到30％,肺透明膜病的发生率自72.4％减少到58.3％;应用肺表面活性物质、高频振荡通气、中心静脉插管等新技术从17.2％增加到86.7％,从而使治愈率自73.9％提高到89.1％,平均住院日自46.8天缩短到43.3天。治疗体会包括加强孕期保健,产儿科合作进行复苏,积极防治呼吸系统疾病,维持内环境稳定,防治院内感染,保证营养需求和提高医护质量。
By summarizing the treatment of pediatric NICU VLBWI in our hospital from January 1997 to December 2001 and comparing with the previous five years, the results showed that the number of VLBWI patients was increased and the incidence of respiratory diseases was reduced, for example, The incidence of asphyxia decreased from 62.1% to 30%, and the incidence of hyaline membrane disease decreased from 72.4% to 58.3%. New techniques such as pulmonary surfactant, high-frequency oscillatory ventilation and central venous cannulation increased from 17.2% to 86.7%, so that the cure rate increased from 73.9% to 89.1%, the average length of stay was shortened from 46.8 days to 43.3 days. Treatment experience includes strengthening pregnancy care, pediatric cooperation in recovery, active prevention and treatment of respiratory diseases, to maintain the stability of the internal environment, prevention and treatment of nosocomial infections, to ensure nutritional needs and improve health care quality.