Eg-Andersen G
Department of Neonatology, Rigshospitalet, Copenhagen, Denmark.
Acta Paediatr Scand Suppl. 1989;360:56-61.
Between 1984 and 1987 164 infants born after 24 to 28 completed weeks were admitted to our unit. In 6 children respirator treatment was withdrawn between days 6 and 57 mainly on the basis of severe intracranial bleeding and periventricular leucomalacia. Among 102 (62%) surviving infants, 18 (18%) had a major handicap (cerebral palsy, IQ less than 50, blindness) at follow-up, in 6 of the 18 (6%) there was a combination of several major handicaps. We conclude that we can still not reliably predict serious handicap and we are therefore faced with a serious ethical dilemma which we think can best be approached in a trust-relationship between parents and staff.
1984年至1987年间，164名在妊娠24至28足周后出生的婴儿被收治入我们科室。6名儿童在出生后第6天至第57天期间停止了呼吸支持治疗，主要原因是严重的颅内出血和脑室周围白质软化。在102名（62%）存活的婴儿中，18名（18%）在随访时存在严重残疾（脑瘫、智商低于50、失明），其中18名中有6名（6%）存在多种严重残疾。我们得出结论，我们仍然无法可靠地预测严重残疾，因此我们面临着一个严重的伦理困境，我们认为最好通过父母与医护人员之间的信任关系来解决。
