University of Leicester, UK.
Institute for Women's Health, University College London, UK; University College Dublin, Ireland.
J Am Acad Child Adolesc Psychiatry. 2019 Aug;58(8):820-826.e6. doi: 10.1016/j.jaac.2019.02.020. Epub 2019 Apr 19.
Since the 1980s, the long-term outcomes of extremely preterm birth (before 28 weeks of gestation) have garnered considerable interest as a result of significant improvements in neonatal care and the consequent increase in survival rates. Compared with birth at full term, extremely preterm birth places infants at increased risk for neurodevelopmental disorders, intellectual impairments, and psychiatric sequelae that persist throughout childhood and adolescence. There is increasing interest in the longer-term outcomes for these babies; in particular, whether adverse outcomes persist or increase in adulthood or whether survivors can outgrow earlier problems.
自 20 世纪 80 年代以来，由于新生儿护理的显著改善以及由此带来的存活率的提高，极早产儿（妊娠 28 周前）的长期预后引起了相当大的关注。与足月出生相比，极早产儿出生的婴儿患神经发育障碍、智力障碍和精神后遗症的风险增加，这些问题会持续到儿童期和青春期。人们对这些婴儿的长期预后越来越感兴趣；特别是，不良后果是否会在成年后持续或增加，或者幸存者是否可以克服早期问题。
