Dammann O
Perinatale Infektionsepidemiologie, OE6415 Abteilung für Gynäkologie und Geburtshilfe, sowie Abteilung für Kinderheilkunde, Pädiatrische Pneumologie und Neonatologie, Medizinische Hochschule Hannover.
Z Geburtshilfe Neonatol. 2006 Feb;210(1):1-5. doi: 10.1055/s-2006-931507.
Perinatal brain damage has a diverse and complex aetiology. Over the past decades, much progress has been made in this research field. In this article, I offer a discussion of seven dimensions of aetiological perinatal brain damage research: (1) hypoxia-ischaemia vs. inflammation; (2) "classic" vs. "remote" intrauterine infection; (3) focal vs. diffuse white matter damage; (4) maternal vs. foetal inflammatory response; (5) clinical vs. experimental data; (6) bacterial vs. viral infection; and (7) preterm vs. term delivery. Despite these complexities, it is hoped that obstetricians, neonatologists, and neuropaediatricians will agree on a perinatal neuroprotective strategy in the near future.
围产期脑损伤的病因多样且复杂。在过去几十年里,该研究领域取得了很大进展。在本文中,我将探讨围产期脑损伤病因学研究的七个维度:(1)缺氧缺血与炎症;(2)“经典”与“远期”宫内感染;(3)局灶性与弥漫性白质损伤;(4)母体与胎儿炎症反应;(5)临床与实验数据;(6)细菌与病毒感染;以及(7)早产与足月分娩。尽管存在这些复杂性,但希望产科医生、新生儿科医生和神经儿科医生在不久的将来能就围产期神经保护策略达成共识。