Department of Pediatrics and Bureau de l'Éthique Clinique, Université de Montréal, Montréal, Canada.
Palliative Care Specialty, Mother and Child Clinical Ethics Unit, Division of Neonatology, Research Center, Centre Hospitalier Universitaire Sainte-Justine, Montréal, Canada.
Pediatrics. 2019 Sep;144(3). doi: 10.1542/peds.2019-0113. Epub 2019 Aug 8.
A 530-g girl born at 22 weeks and 6 days' gestation (determined by an ultrasound at 11 weeks) was admitted to the NICU. Her mother had received prenatal steroids. At 12 hours of age, she was stable on low ventilator settings. Her blood pressure was fine. Her urine output was good. After counseling, her parents voiced understanding of the risks and wanted all available life-supporting measures. Many nurses were distressed that doctors were trying to save a "22-weeker." In the past, 4 infants born at 22 weeks' gestation had been admitted to that NICU, and all had died. The attending physician on call had to deal with many sick infants and the nurses' moral distress.
一个 530 克的女婴在 22 周零 6 天（通过 11 周时的超声检查确定）时出生，被收入新生儿重症监护病房。她的母亲接受了产前类固醇治疗。在 12 小时大时，她在低呼吸机设置下稳定。她的血压正常。她的尿量良好。在咨询后，她的父母理解风险，并希望采取所有可用的生命支持措施。许多护士对医生试图拯救一个“22 周早产儿”感到痛心。过去，有 4 名在 22 周时出生的婴儿被收入该新生儿重症监护病房，他们都死了。值班主治医生不得不处理许多生病的婴儿和护士的道德困境。
