Vekerdy-Lakatos Z, Lakatos L, Ittzés-Nagy B
Department of Paediatrics, University Medical School, Debrecen, Hungary.
Acta Paediatr Scand Suppl. 1989;360:62-71. doi: 10.1111/j.1651-2227.1989.tb11284.x.
34 long-term survivors of a five-year period (1977-1981) weighing 1,000 g or less at birth were followed-up at 8-11 years of age. Three (8.8%) children had severe functional handicap, 7 (20.6%) had moderate impairments with the need of special schooling. Twenty-four (70.6%) attended normal school but 7 (20.6%) with need of special help. The rate of survival was 30% at the single regional intensive centre where this cohort of infants were cared for. Handicapped infants differed significantly from infants with good prognosis in their neonatal requirements for oxygen therapy and in pathological conditions such as birth asphyxia and recurrent apneic spells but no differences in birthweight, gestational age, route of delivery, maternal age, social class, proportions below the tenth percentile and sex were found.
对1977年至1981年这五年间出生时体重1000克及以下的34名长期存活者进行了8至11岁的随访。3名儿童(8.8%)有严重功能障碍,7名儿童(20.6%)有中度损伤,需要接受特殊教育。24名儿童(70.6%)就读于普通学校,但7名儿童(20.6%)需要特殊帮助。在照顾这批婴儿的单一区域强化中心,存活率为30%。残疾婴儿在新生儿期对氧气治疗的需求以及出生窒息和反复呼吸暂停等病理状况方面与预后良好的婴儿有显著差异,但在出生体重、胎龄、分娩方式、母亲年龄、社会阶层、低于第十百分位数的比例和性别方面未发现差异。