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目的探讨发生早产的主要原因和常见并发症及其对早产儿的影响。方法调查分析2009年7月~2010年6月我院产科分娩及同期外院转入我院儿科的早产儿共154例,将其分为阴式分娩组和剖宫产组,对不同原因所致早产儿的预后作统计学分析。结果 胎膜早破53例,占34.42%,是引起早产的主要原因;感染、窒息和多脏器功能不全是导致早产儿并发症和死亡的主要原因,合并症中居前5位的依次为新生儿肺炎、先天性心脏病、新生儿窒息、新生儿肺透明膜病、呼吸暂停,先天性心脏病要引起足够的重视。结论早产是新生儿发病和死亡的主要原因,感染、窒息和多脏器功能不全是导致早产儿并发症和死亡的主要原因,做好围产期保健,加强早产儿并发症的预防,提高抢救水平是预后的关键。
Objective To investigate the main causes of preterm birth and the common complications and their effects on premature infants. Methods A total of 154 preterm infants admitted to pediatric department of our hospital from July 2009 to June 2010 were enrolled in this study and divided into vaginal delivery group and cesarean section group. The prognosis of preterm children for statistical analysis. Results premature rupture of membranes in 53 cases, accounting for 34.42%, is the main cause of preterm birth; infection, asphyxia and multiple organ dysfunction is the leading cause of complications and death in preterm children, the top 5 complications were newborn Children with pneumonia, congenital heart disease, neonatal asphyxia, neonatal hyaline membrane disease, apnea, congenital heart disease to cause enough attention. Conclusions Premature labor is the main cause of neonatal morbidity and mortality. Infection, asphyxia and multiple organ dysfunction are the main causes of complication and death in preterm infants. Prenatal care should be done to prevent perinatal complications and prevent complications in premature infants The level is the key to prognosis.