van Delden J J M Hans
Universitair Medisch Centrum Utrecht, Julius Centrum voor Gezondheidswetenschappen en Eerstelijns Geneeskunde, Utrecht, the Netherlands.
Ned Tijdschr Geneeskd. 2010;154:A2761.
The new practice guideline on the treatment of extremely premature infants is discussed. The guideline advises to actively treat all children born after 24 0/7 weeks of gestation. Although there is some evidence supporting this view, it is argued that the guideline is incomplete as decisions about the treatment of such newborn infants can only be made after discussion with the parents. The guideline should also have taken into account the ethical and legal aspects of the issue. It is therefore concluded that the guideline itself is immature and premature.
讨论了关于治疗极早产儿的新实践指南。该指南建议积极治疗所有妊娠24 0/7周后出生的儿童。尽管有一些证据支持这一观点,但有人认为该指南并不完整,因为关于此类新生儿治疗的决定只能在与父母讨论后做出。该指南还应考虑到该问题的伦理和法律方面。因此得出结论,该指南本身并不成熟且为时过早。