Shah Vibhuti, Coroneos Christopher J, Ng Eugene
Canadian Paediatric Society, Fetus and Newborn Committee, Ottawa, Ontario, Canada.
Paediatr Child Health. 2021 Dec 27;26(8):493-497. doi: 10.1093/pch/pxab083. eCollection 2021 Dec.
Neonatal brachial plexus palsy presents at birth and can be a debilitating condition with long-term consequences. Presentation at birth depends on the extent of nerve injury, and can vary from transient weakness to global paresis, with active range of motion affected. Serial clinical examination after birth and during the neonatal period (first month of life) is crucial to assess recovery and predicts long-term outcomes. This position statement guides the evaluation of neonates for risk factors at birth, early referral to a multidisciplinary specialized team, and ongoing communication between community providers and specialists to optimize childhood outcomes.
新生儿臂丛神经麻痹在出生时即出现，可能是一种导致长期后果的致残性病症。出生时的表现取决于神经损伤的程度，范围可从短暂性无力到全身性麻痹，主动活动范围会受到影响。出生后及新生儿期（出生后的第一个月）进行系列临床检查对于评估恢复情况和预测长期预后至关重要。本立场声明指导对新生儿出生时的风险因素进行评估、尽早转诊至多学科专业团队，以及社区医疗服务提供者与专科医生之间持续沟通，以优化儿童期预后。
