Neonate and neonatal diseases 复旦大学上海医学院儿科学系 周蓓华 复旦大学附属儿科医院
复旦大学上海医学院 儿科学系 周蓓华 Neonate and Neonatal diseases
Neonatal outline development of neonatology Important branch of pediatrics 实用新生儿学 Rapid development 主集综 Expectation and danger Challenge extremity of life 是人民量丝
Neonatal outline development of neonatology • Important branch of pediatrics • Rapid development • Expectation and danger • Challenge extremity of life N I CU
Concepts Neonatal period(新生儿期) Neonate, newborn(新生儿) Neonatology (新生儿学) Perinatal period(国产期) Perinatal infant(围产儿) Perinatology 围产医学)
Neonatal period (新生儿期) Neonate，newborn (新生儿) Neonatology (新生儿学) Perinatal period (围产期) Perinatal infant (围产儿) Perinatology (围产医学) Concepts N I CU
Classification of Newborn 1、 Gestational age(胎龄) 足月儿: fullterm infant., mature infant 37w~<42w 早产儿: preterm infant,, premature infant <37w 过期产儿: postterm infant ≥42w
Classification of Newborn １、Gestational age ( 胎龄 ) 足月儿：fullterm infant, mature infant ≥37w～< 42w 早产儿：preterm infant, premature infant < 37w 过期产儿：postterm infant 42w N I CU
2、 Birth weight(出生体重) normal birth weight 2500-3999g low birth weight(LB W): <2500g very low birth weight(VLBw) <1500g extremely low birth weight(ELBW): 1000g macrosomia ≥4000克
２、Birth weight (出生体重) normal birth weight： 2500-3999g low birth weight(LBW): <2500g very low birth weight(VLBW): <1500g extremely low birth weight(ELBW): < 1000g macrosomia： 4000克 N I CU
3. Relation of birth weight and gestational age Appropriate for gestational age(aga) 10-90 percentage Small for gestational age(SGa): 90 percentage
３、Relation of birth weight and gestational age Appropriate for gestational age (AGA)： 10－90 percentage Small for gestational age (SGA)： 90 percentage N I CU
4、 Day after birth Early newborn: 1 week 70% death is during l week Lately newborn: 2-4 week
４、Day after birth • Early newborn：１week 70% death is during １week • Lately newborn： 2 - 4 week N I CU
5、 High risk newborns High risk factors monitor
５、High risk newborns • High risk factors • monitor N I CU
respiratory system · Respiratory center Pulmonary surfactant (肺表面活性物质) Respiratory rate: 40-45/min Abdomen respiratory
respiratory system • Respiratory center • Pulmonary surfactant (肺表面活性物质) • Respiratory rate: 40-45/min • Abdomen respiratory N I CU
gastrointestinal system Stomach, loosely Lower esophageal sphincter Air in intestine Meconium(胎粪) · Glucuronyl transferase(葡萄糖醛酸转移酶)
gastrointestinal system • Stomach, loosely Lower esophageal sphincter • Air in intestine • Meconium (胎粪） • Glucuronyl transferase (葡萄糖醛酸转移酶) N I CU