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患儿均出生28天以内,体重小于2500g,其中早产儿184例占52.12%。发病中第一诊断居首位的是呼吸系统疾病148例占41.92%,其次硬肿症80例占22.7%。296例患1~5种并发症或合并症。本组病儿死亡94例,病死率26.6%,其中呼吸道疾病死亡最多42例,硬肿症次之32例,各占死亡总数的44.7%、34%。其中体重在1500g以下的极低体重儿死亡率71.4%(20/28),明显高于本组其他患儿。在疾病分布中,数量较多而病死率又高的是硬肿症和吸入性肺炎,前者发病80例,后者59例,病死率为40%、47.45%。指出,加强对这两种疾病的防治,对降低低体重儿死亡率极为重要。搞好围产期保健是防治本病的根本措施。
Children were born within 28 days, weighing less than 2500g, of which 184 cases of premature children accounted for 52.12%. The first diagnosis of the highest incidence of respiratory diseases in 148 cases accounted for 41.92%, followed by 80 cases of scleredema 22.7%. 296 patients with 1 to 5 complications or complications. 94 patients died of this group of children, the fatality rate was 26.6%, of which 42 cases of respiratory disease death, scleredema 32 cases, each accounted for 44.7% of the total deaths, 34%. Among them, the death rate of very low birth weight children under 1500g was 71.4% (20/28), which was significantly higher than other children in this group. In the distribution of disease, a large number and high mortality are scleroderma and aspiration pneumonia, the former 80 cases of onset, the latter 59 cases, the mortality rate was 40%, 47.45%. Pointed out that strengthening prevention and control of these two diseases is extremely important in reducing the death rate of low birth weight children. To improve perinatal health care is the fundamental measure to prevent and treat this disease.