成功救治出生体重420g极早产儿一例

• 作 者: 曹莉 孔海艳 蒋玲 张志群
• 机 构: 杭州市第一人民医院新生儿监护室,
• 出 处: 中国新生儿科杂志
• 发表日期: 2015年06期
• 关键词: @@

患儿女,第5胎第1产,胎龄24+2周,母亲因“宫颈癌全切术后,试管婴儿,胎膜早破”行剖宫产,Apgar评分1 min 2分,5 min 4分,10 min 5分,出生体重420 g。查体:极早产儿貌,皮肤菲薄透明,双眼未睁开,反应差,皮肤发绀,全身皮肤散在瘀斑及出血点,三凹征阳性,抽泣样呼吸,两肺呼吸音低,心律齐,腹软,四肢肌张力低,原始反射未引出。诊断:新生儿窒息(重度),呼吸衰竭,新生儿出血症,极早产儿。

Children with first trimester fetus and second trimester fetus with a birth rate of 24 + 2 weeks were divided into two groups according to Apgar score of 1 minute after cesarean section, 5 min 4 min, 10 min 5 min, birth weight 420 g. Examination: Very premature baby appearance, the skin is thin and transparent, the eyes did not open, the reaction is poor, the skin cyanosis, systemic skin scattered in ecchymosis and bleeding point, three concave sign positive, sobbed breath, lungs breath sounds low, Abdomen soft, low limb muscle tension, the original reflection did not lead. Diagnosis: neonatal asphyxia (severe), respiratory failure, neonatal hemorrhagic disease, very premature children.