Snyers D, Lefebvre C, Viellevoye R, Rigo V
Service de Néonatologie, CHU et CHR Liège, Belgique.
Rev Med Liege. 2020 Feb;75(2):105-110.
Late preterm infants are born between 34 weeks of amenorrhea and 36 weeks 6 days. Late preterms represent the largest proportion of premature infants (about 75 %). Late prematurity is increasing in recent decades. While studies initially focused on mortality and morbidity related to very preterm birth, the late preterms have been the subject of increased attention over the past 15 years. Late preterm infants have an increased risk of respiratory complications, infections, feeding problems, hypothermia and hypoglycemia. Neonatal, infant and during adulthood mortalities are significantly higher in late preterm than in term infants. In addition, late preterm infants carry an increased risk of long-term morbidities, such as neurodevelopmental delay, cerebral palsy, chronic respiratory or metabolic diseases. This review highlights the evidence that late preterm infants are high risk newborns and require adapted follow-up.
晚期早产儿出生于闭经34周与36周6天之间。晚期早产儿占早产儿的比例最大（约75%）。近几十年来，晚期早产的情况在增加。虽然最初的研究集中在与极早产相关的死亡率和发病率，但在过去15年里，晚期早产儿受到了越来越多的关注。晚期早产儿出现呼吸并发症、感染、喂养问题、体温过低和低血糖的风险增加。晚期早产儿的新生儿、婴儿期及成年期死亡率显著高于足月儿。此外，晚期早产儿患长期疾病的风险增加，如神经发育迟缓、脑瘫、慢性呼吸系统或代谢疾病。本综述强调了晚期早产儿是高危新生儿且需要适应性随访的证据。
