Kurz R
Wien Klin Wochenschr. 1986 Sep 26;98(18):601-8.
The significant advances in medicine during this century have led to a shift in emphasis in paediatrics: whilst two thirds of all infant deaths still result from complications during the neonatal period, the sudden infant death syndrome has come to the fore, and in older children accidents and malignant disease account for most deaths. Chronic illness, physical disabilities and psychological disturbance are constantly gaining increased importance. I suggest four principal answers to the problems concerning children today: Scientific research taking into account the child's personality as a basis of real progress: Accentuation of health education in paediatrics; Training of cybernetic thinking--with respect to the child as a psychosomatic unity, the multifactorial pathogenesis of several diseases, and interdisciplinary teamwork between doctors and scientists. Empathetic attitude to the child as a special entity and wholly valid human being, with specific needs at each stage of development.
虽然所有婴儿死亡中有三分之二仍由新生儿期的并发症导致,但婴儿猝死综合征已成为突出问题,而在大龄儿童中,事故和恶性疾病是导致死亡的主要原因。慢性病、身体残疾和心理障碍正变得越来越重要。我对当今有关儿童的问题提出四个主要应对方法:以儿童个性为真正进步基础的科学研究;强化儿科学中的健康教育;培养控制论思维——考虑到儿童是身心统一体、多种疾病的多因素发病机制以及医生和科学家之间的跨学科团队合作。对儿童这一特殊个体和完全有价值的人秉持共情态度,儿童在每个发育阶段都有特定需求。