Causes of death in the extremely low birth weight infant

Causes of death in the extremely low birth weight infant
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DOI:
10.1542/peds.103.2.446
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发表时间:
1999-02-01
期刊:
影响因子:
8
通讯作者:
Pavlova, Z
Pavlova, Z
中科院分区:
医学2区
文献类型:
--
作者:
Barton, L;Hodgman, JE;Pavlova, Z

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目标。介绍通过尸检证实的极低出生体重婴儿的主要和次要死亡原因。本文回顾性分析了1990-1993年4年间在我院死亡并尸检的出生时体重在300 - 1000克之间的111例婴儿。临床,病理和实验室资料检索,包括胎盘检查和尸检培养的结果。作者指定了主要和次要死亡原因。感染是最常见的主要原因(56/111),其次是呼吸窘迫综合征/支气管肺发育不良(24/111)和先天性缺陷(15/111)。不成熟是唯一的原因,几乎只出现在婴儿称重中
Objective. To present primary and secondary causes of death confirmed by autopsy for the extremely low birth weight infant.Methods. A total of 111 infants weighing between 300 and 1000 g at birth who died and were autopsied at our hospital during the 4-year period 1990-1993 were retrospectively reviewed. Clinical, pathologic, and laboratory data were retrieved including results of placental examinations and autopsy cultures. Primary and secondary causes of death were assigned by the authors.Results. Infection was the most common primary cause (56/111) followed by respiratory distress syndrome/bronchopulmonary dysplasia (24/111) and congenital defect (15/111). Immaturity as an only cause appeared almost exclusively in infants weighing