发育医学电子杂志 2019, Vol. 7 Issue (2): 100-104 DOI: 10.3969/j.issn.2095-5340.2019.02.005
围产医学
母源性疾病
|新生儿
|
早产的诊治进展
蔡成
上海市儿童医院 上海交通大学附属儿童医院 新生儿科,上海 200062
Progress of diagnosis and treatment of preterm labor
CAI Cheng
摘要 1961 年世界卫生组织(World Health Organization, WHO)大 会 倡 议,凡 妊娠 满 28 周(196 d)至 37 周 (259 d)间的分娩定为早产。在此期间出生体重为 1 000 ~ 2 499 g,身体各器官未成熟的新生儿为早产
儿。早产定义的上限全球统一,即妊娠不满 37 周分 娩,而下限设置因国而异,与其新生儿救治水平相 关。很多发达国家与地区采用妊娠满 20 周,也有 一些采用满 24 周[1] 。全世界每年有近 100 万婴儿 死于早产及其相关并发症。早产也是产前住院治 疗最常见的原因之一[2] 。约有 1/4 的存活早产儿会 遗留智力障碍或神经系统后遗症。研究发现,妊娠 24 ~ 30 周,宫内时间每延长 1 d 可使早产儿的存 活率提高 3%[3] 。因此,防治早产是降低围产儿死 亡率和患病率的关键,对优生优育及提高人口素质 具有重要意义。
关键词:
早产')" href="#">
早产
高危因素
诊断与治疗
预防
')" href="#"> 进展
收稿日期: 2018-12-26
出版日期: 2019-04-30
发布日期: 2019-05-07
期的出版日期: 2019-04-30
基金资助: 国家自然科学基金面上项目(81571467)
通讯作者:
蔡成http://www.shchildren.com.cn/contents/220/2588.html
E-mail: caicheng2004@163.com
[1]
GAO Xiao-hui, MAO Jian. Clinical features of non-oliguric hyperkalemia in extremely low birth weight infants [J]. Journal of Developmental Medicine(Electronic Version), 0, (): 152
.
[2]
Society of Neonatologist, Chinese Medical Doctor Association. Consensus recommendations on the prevention and early management of respiratory distress syndrome in preterm infants [J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 129
-131
.
[3]
Professional Committee of Respiratory, Society of Neonatologist, Chinese Medical Doctor Association. Clinical application recommendations for heated humidified high flow nasal cannula [J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 132
-135
.
[4]
YAN Jun, ZHU Xing-wang, SHI Yuan. Application progress of noninvasive ventilate technique for premature infants [J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 136
-140
.
[5]
GU Min-fang, YANG Chuan-zhong. Progress of intrapartum resuscitation for premature infants [J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 141
-145
.
[6]
LIU Shu-hua, SHEN Yue-bo, LIU Cui-qing, MA Li. The efficacy of pulmonary surfactant for pulmonary function in premature tension pneumothorax [J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 146
-151
.
[7]
GAO Xiao-hui, MAO Jian. Clinical features of non-oliguric hyperkalemia in extremely low birth weight infants [J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 152
-158
.
[8]
XIA Yao-fang, YANG Juan , TIAN Bao-li, et al. Value of amplitude-integrated electroencephalography in monitoring acute period of neonatal bilirubin encephalopathy and prognostic assessment [J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 159
-163
.
[9]
WANG Li-rong, SUN Xiao-yan, ZHU Ruo-xin, et al. Epidemiological investigation and analysis of women aged 40-55 years old with osteoporosis in Gansu province [J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 164
-167
.
[10]
CHEN Ru-yue, SHEN Yun-yan, CHEN Qing , et al. Five cases about Henoch-Schönlein purpura complicated with central nervous system injury in children and literatures review [J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 168
-171
.
Viewed
Full text
Abstract
Cited
Shared
Discussed