深圳市妇幼保健院成功救治一名胎龄23周+4天、出生体重330克的超早产儿,创造了该院超早产儿救治体重最轻纪录1。患儿出生体重相当于6个鸡蛋的重量1。患儿母亲患慢性高血压合并重度子痫前期1。
医疗团队在出生1分钟内建立了患儿的呼吸通路,并于转入新生儿重症监护室30分钟内完成脐动静脉置管1。医护人员对液体入量的控制精确到每小时0.01毫升,喂养从0.5毫升的微量开始1。患儿入院第三天发生心包填塞,医生通过心包穿刺成功化解了这一风险1。经过105天的多学科协作救治,患儿于9月1日出院时体重已达2.5公斤1。
深圳市妇幼保健院新生儿科年收治超过8000例新生儿,超低出生体重儿的治愈率达97.5%1。
Shenzhen Women and Children's Hospital has successfully treated an extremely premature infant born at 23 weeks and 4 days of gestation, weighing just 330 grams at birth 1. The newborn, whose weight was equivalent to that of six eggs, was born to a mother with chronic hypertension complicated by severe preeclampsia 1.
The medical team initiated critical interventions within minutes of delivery, establishing an airway within the first minute of life and completing umbilical artery and vein catheterization within half an hour of admission to the neonatal intensive care unit 1. On the third day of hospitalization, the infant developed pericardial tamponade, which physicians resolved through pericardiocentesis 1. The care regimen demanded extraordinary precision, with fluid intake calibrated to 0.01 milliliters per hour, and nutritional support beginning with 0.5-milliliter microfeeds 1.
After 105 days of multidisciplinary treatment, the infant was discharged on September 1 weighing 2.5 kilograms, marking a new record for the hospital's lightest surviving extremely low birth weight infant 1. The hospital's neonatal department annually admits over 8,000 newborns, with a 97.5% survival rate among extremely low birth weight cases 1.
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