Amato M
Department of Pediatrics, Children's Hospital, Aarau, Switzerland.
Acta Paediatr Suppl. 1992 Oct;382:7-9. doi: 10.1111/j.1651-2227.1992.tb12357.x.
Infants with birth weight 750 g or less usually have a poor survival rate, and those who live have poor neurologic and intellectual outcome. With significant advances in perinatal care and meticulous neonatal support, the survival of these babies has improved in recent years and the long-term outcome can be as good as that of larger low-birth-weight infants. It is likely that the reported increase in survival of ELBW infants reflects a changing obstetrical approach to the extremely premature fetus along with an increased attitude among pediatricians and neonatologists to treating such babies. This posture is motivated and supported by a number of factors, including regional systems of perinatal care that encourage early maternal transport to tertiary centers, an increasing ability of neonatal intensive care technology to achieve survival, and more optimistic long-term neurodevelopmental outcome reports. Our experience is encouraging in this regard. This presentation reports the survival of an ELBW infant delivered in Switzerland before the completion of the 26th week of gestation and weighing 390 g at birth.
出生体重750克及以下的婴儿通常存活率较低，即便存活下来，其神经和智力发育结果也较差。随着围产期护理的显著进步以及精心的新生儿支持，近年来这些婴儿的存活率有所提高，长期预后与出生体重较大的低体重婴儿相当。极低出生体重（ELBW）婴儿存活率的报道有所增加，这可能反映出产科对极早产胎儿的处理方式发生了变化，同时儿科医生和新生儿科医生对治疗这类婴儿的态度也更为积极。这一态势受到多种因素的推动和支持，包括鼓励产妇早期转运至三级医疗中心的区域围产期护理系统、新生儿重症监护技术提高婴儿存活率的能力不断增强，以及更乐观的长期神经发育预后报告。在这方面，我们的经验令人鼓舞。本报告介绍了一名在瑞士出生的ELBW婴儿的存活情况，该婴儿在妊娠26周前出生，出生体重为390克。
