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《Modern Preventive Medicine》 2011-05
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THE ANALYSIS ON THE SURVIVAL RISK FACTORS OF 122 CASES OF VERY LOW BIRTHWEIGHT

CHEN Chang-ying,CHEN Li-min.(Guanghan City Maternity and Children's Health Care Center,Guanghan 618300,China)  
[Objective]To investigate the risk factors and the factors which influenced the survival rate,give clinical help for decreasing the mortality rate of very low birth weight infants(VLBWI).[Methods]The clinic data of 122 case of VLBWI were analyzed retrospectively by dividing patients into three groups according to the birth weight(BW),as BW≤1 000 g,1 001-1 250 g and 1 251-1 500 g.[Results]Cured 69 cases,and the cure rate was 56.56%,cure rate increased along with the increase of body weight(P = 0.018);13 death cases,the mortality was 10.66%,mortality decreased with increase of body weight(P = 0.000).The major causes induced VLBWI were gestational hypertension(30 cases,24.59%),premature rupture of membrane(28 cases,22.95%),multiple pregnancy(24 cases,19.67%),placent previa/placent abruption(12 cases,9.83%),gestational mother with medical diseases(10 cases,8.19%),fetal distress(6 cases,4.92%),Idiopathic(12 cases,9.83%).The main complications were metabolic acidosis(94 cases,77.05%),hyperbilirubinemia(74 cases,60.65%),neonatal temporary coagulation function abnormality(72 cases,59.02%),neonatal anemia(68 cases,55.74%),neonatal myocardial injury(52 cases,42.62%),neonatal hyaline membrane disease(40 cases,32.79%),pneumonia(26 cases,21.31%),retinopathy of prematurity(18 cases,14.75%),intracranial hemorrhage(12 cases,9.83%),pulmonary edema(4 cases,5.65%).The main causes of death were acute respiratory distress syndrome(RDS),pulmonary edema,infections and intraventricular hemorrhage.[Conclusion]Strengthening the understanding about high risk factors during VLBWI perinatal period,positively preventing premature delivery,adopting comprehensive treatment and decreasing complications can reduce the mortality and improve the life quality of VLBWI.
【CateGory Index】: R722.1
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