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초미숙아의 생존한계

초미숙아의 생존한계. Won Soon Park Department of Pediatrics , Samsung Medical Center, School of Medicine, Sungkyunkwan University. 목차. 왜 초미숙아의 치료가 중요한가 ? 초미숙아의 생존한계는 ? 초미숙아의 생존한계 향상 방안은 ?. 왜 초미숙아의 치료가 중요한가 ?. 일본의 경우 : 출산율의 감소 미숙아 출산의 증가 추세.

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초미숙아의 생존한계

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  1. 초미숙아의 생존한계 Won Soon Park Department of Pediatrics, Samsung Medical Center, School of Medicine, Sungkyunkwan University

  2. 목차 • 왜 초미숙아의 치료가 중요한가? • 초미숙아의 생존한계는? • 초미숙아의 생존한계 향상 방안은?

  3. 왜 초미숙아의 치료가 중요한가?

  4. 일본의 경우: 출산율의 감소 • 미숙아 출산의 증가 추세 • Horiuchi T, 2005

  5. 미숙아 출산 증가 이유 • 고령산모의 증가 • 불임의 증가 • 산과 및 신생아 치료기술의 발달 • 미숙아에 대한 인식 변화

  6. 초미숙아의 생존한계는?

  7. 생존율 50%를 기준 Birth weight < Gestational age 분만장에서 소생술의 시행과 신생아 집중치료 여부 결정의 중요기준 초미숙아의 생존한계는?

  8. Survival rate according to GA in extremely premature infants ≤ 24 wk * * * 24/30(80%) 45/62(73%) 17/23(74%) 28/51(55%) 34/71(48%) 4/9(44%) 6/16(38%) 0/4(0%) Period 1 2001-2005, Period 2 2006-2008

  9. 초미숙아의 생존한계 향상 방안은?

  10. Differences between Period Ⅰ & Ⅱ • Improved Delivery Room Management • Improved Admission Care • Fluid & Electrolyte Management • Minimal Handling and Less Invasive Care • Improved Respiratory Care • Aggressive Nutritional Support • Aseptic Technique

  11. DR resuscitation of microprimie(GA 22+5 Bwt 480 g)

  12. HUR, AY(22+3wks, 440g)

  13. HUR, AY(22+3wks, 440g)

  14. KIM, MB(22+5wks, 570g)

  15. KIM, MB(22+5wks, 570g)

  16. Kameron(22+6wks, 483g)

  17. Kameron(22+6wks, 483g)

  18. With family

  19. Now, 3 Y of age

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