| The Result of Intensive Care on the very Low Birth Weight Infants(1001~1500gm). |
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Seo Jeong Kim, Ran Namgung, Chul Lee, Dong Gwan Han |
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Department of Pediatrics, Yonsei University, College of Medicine, Seoul, Korea |
| 극소 체중아(1001-1500 g) 의 집중치료 결과 |
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김서정, 남궁란, 이철, 한동관 |
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연세대학교 의과대학 소아과학교실 |
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Received: 2 October 1987 |
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| Abstract |
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The clinical study on the results of intensive care was performed on the 137 very low birth weight
infants with birth weight of 1001-1500 gram who were admitted to the neonatal intensive care unit
of Severance hospital from 1981 to 1986.
The results were as follows.
1) The range of gestational age of very low birth weight infants was from 22 to 40 weeks, most
predominantly between 31-32 weeks as 44 cases (32.1%).
2) Major obstetrical complications were cesarean section in 32 cases (27.1%), preeclampsia in 22
cases (18.6%), and premature rupture of membrane in 21 cases (17.8%).
3) Observed morbidities were neonatal hyperbilirubinemia in 53 cases (18.9%), hyaline membrane
disease in 41 cases (14.6%) and apnea neonatorum in 37 cases (13.2%). Hyaline membrane disease,
sepsis, pneumothorax, pneumonia, and pulmonary hemorrhage were observed more frequently in
intensive care group.
4) Overall survival rate for 6 years of 137 very low birth weight infants was 48.2% and survival rate
of intensive care group and conservative care group was 32.8% and 60.5% respectively.
5) Survival rates of intensive care group by year showed increasing tendency as 20.0% in 1981, 46.
7% in 1985, and 58.3% in 1986.
6) Follow-up observations were performed in 38 survived infants for the period of 2 months to 5
years and long term sequelaes were observed in about 25%, as quadriplegia, diplegia, convulsive
disorder, retrolental fibroplasia, delayed development, squint, and chronic lung disease. |
| Key Words:
Very low birth weight infant, Intensive care |
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