A case of successful treatment of an extremely preterm infant born at 21 weeks and 4 days of gestation

VernacularTitle:胎龄21周 +4超早产儿成功救治1例
Author: Haifeng ZONG ¹ ; Bingchun LIN ; Yingsui HUANG ; Shan JIANG ; Yurong YUAN ; Xiaoyun XIONG ; Zhifeng HUANG ; Chuanzhong YANG
Author Information

1. 深圳市妇幼保健院新生儿重症监护病房，深圳　518028
Keywords: Gestational age,21 weeks; Periviable; Extremely preterm; Resuscitation; Extremely low birth weight
From: Chinese Journal of Perinatal Medicine 2024;27(10):860-864
CountryChina
Language:Chinese
Abstract: This case report described the sucussful treatment of a male infant born at 21 weeks and 4 days through assisted reproductive technology. After prenatal consultation and with the strong desire of the parents, active resuscitation and treatment were performed. The infant received 52 days of mechanical ventilation and was extubated to non-invasive ventilation at a corrected gestational age of 28 weeks and 6 days. During hospitalization, no vasoactive drugs were used, and necrotizing enterocolitis did not occur. The gastric tube was removed at a corrected gestational age of 37 weeks and 4 days. At a corrected gestational age of 40 weeks, cranial MRI showed no abnormalities. The infant was discharged at a corrected gestational age of 42 weeks after 143 days of treatment, without the need for any respiratory support. Follow-up until a corrected age of 6 months showed good growth and development.