Where low birth weight infants with normal newborn should be separate, if the conditions can be taken to neonatal intensive care unit for monitoring treatment.
Precautionary premature infants at room temperature to 24 ~ 28 ℃, relative humidity around 60%. Requirements to maintain body temperature at 36.5 ~ 37 ℃ (rectal temperature), a low birth weight in 2000 g below, should Add to warm me warm. If not warm me, can be used Reshui Dai, salt water bottles, Shaozhuan, and so warm. Warm me before, we must first use of electricity preheating, the general electricity about two hours to make me temperature stability, have to wait until the temperature stability after me can Add to newborns. According to box-birth weight, body temperature, was born a few days of life and strength to adjust. All care should be operating in the warm box on the implementation of every four to six hours a measuring body temperature, and paid attention to me temperature and humidity. When the weight increased to more than 2000 g, temperature stability, and feeding and the general good, may be considered out warm me, but should closely observe and pay attention to body temperature, weight and growth of breast-feeding, and other general suck.
Oxygen supply in premature infants with respiratory easy irregular, Xiao Yanger more than a suffocation intrauterine history, the patent after birth of respiratory inhalation and given oxygen treatment is important. Interrupted oxygen supply to provide a suitable lifting of bluish violet, no long-term oxygen, preferably not more than three days. With control of oxygen concentration in 30 to 40 percent, to maintain the partial pressure of oxygen in arterial 50 ~ 80 mmHg (6.7 ~ 10.6kPa) suitable. Whenever breast-feeding, cyanosis of premature infants, in feeding oxygen for a few minutes ago. Following the 1000 g of premature infants, if the oxygen concentration as high as 50 to 60 percent, after easily lead crystal fiber hyperplasia and chronic bronchial and lung dysplasia; if too much oxygen, can accelerate red blood cell damage, adding to jaundice and anemia, Attention.
The prevention of infection in premature infants rooms and utensils used by the Chuangjia attention should be disinfected, such as cleaning. Health care workers must be strict compliance sterile system, all suffering from flu, skin infections, diarrhoea or carriers, to be temporarily transferred out of the room. If any suspicious patients with infectious diseases, early isolation to prevent cross-infection. Generally do not advocate use of antibiotics as a means to prevent infection.
(Internship Editor: Chen Xiao double)
