超早产儿死亡原因和对策建议

doi:10.12372/jcp.2023.23e0715

临床儿科杂志 ›› 2023, Vol. 41 ›› Issue (10): 654-657.doi: 10.12372/jcp.2023.23e0715

超早产儿死亡原因和对策建议

周建国

复旦大学附属儿科医院（上海 201102）

收稿日期:2023-08-01 出版日期:2023-10-15 发布日期:2023-10-08
作者简介:周建国，博士，副主任医师，复旦大学副教授。擅长新生儿危重、疑难疾病诊治。主要研究方向为新生儿无创、有创机械通气，新生儿支气管肺发育不良诊治等。主持国家自然科学基金项目、上海市卫健委科研项目各一项。发表SCI论文20余篇。担任中国医师协会新生儿学组呼吸专委会委员、《中华儿科杂志》审稿专家、《临床儿科杂志》青年编委。ORCID：0000-0002-7855-5896

Etiologies of death and preventive strategies in extremely preterm infants

ZHOU Jianguo

Children’s Hospital of Fudan University, Shanghai 201102, China

Received:2023-08-01 Online:2023-10-15 Published:2023-10-08

摘要/Abstract

摘要：

随着国内围生和新生儿医学的发展，超早产儿（胎龄<28周早产儿）整体救治意愿提升，数量增加，已成为国内新生儿重症监护室（NICU）新生儿死亡的重要原因。按照国外发达国家经验，随着我国社会经济发展水平提高，超早产儿在NICU死亡病例中的占比会进一步增高。因此超早产儿管理是当前及未来新生儿救治的重点和难点问题。降低超早产儿死亡风险，有赖于建立、健全围生医学中心、危重新生儿救治中心和新生儿转运体系，实施早产儿综合管理方案，综合产前、产时和产后因素，广泛开展产儿科合作。

关键词: 死亡原因, 新生儿重症监护室, 超早产儿

Abstract:

With the development of perinatal and neonatal medicine in China, as well as the improvement of the overall willingness to treat extremely preterm infants (gestational age <28 weeks, EPI), the number of them has increased. As a result, EPI has become the leading cause of neonatal death in neonatal intensive care units (NICUs). According to the experience of foreign developed countries, with the improvement of China's social and economic development level, the proportion of EPI in NICU deaths will be further increased. Therefore, the EPI care is and will remain an important and challenging issue in the future. Reducing the mortality risk of EPI depends on the establishment and improvement of perinatal medical centers, neonatal medical centers and professional neonatal transport systems, the implementation of comprehensive management programs for preterm infants, the integration of prenatal, intrapartum and postnatal factors, and comprehensive obstetric and neonatal cooperation.

Key words: etiology of death, neonatal intensive care unit, extremely preterm infant

周建国. 超早产儿死亡原因和对策建议[J]. 临床儿科杂志, 2023, 41(10): 654-657.

ZHOU Jianguo. Etiologies of death and preventive strategies in extremely preterm infants[J]. Journal of Clinical Pediatrics, 2023, 41(10): 654-657.

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超早产儿死亡原因和对策建议

Etiologies of death and preventive strategies in extremely preterm infants

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