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[极不成熟的新生儿——产科医生和儿科医生面临的困境]

[The extremely immature newborn--a dilemma of the obstetrician and paediatrician].

作者信息

Ewerbeck H, Groneck P

出版信息

Geburtshilfe Frauenheilkd. 1983 Jun;43 Suppl 1:99-103. doi: 10.1055/s-2008-1036604.

DOI:10.1055/s-2008-1036604
PMID:6555141
Abstract

The uncertain prognosis of premature newborn with an extremely low birth weight has so far resulted in uncertainty regarding the therapeutic measures to be taken, both with obstetricians and with paediatricians. However, the follow-up studies made up to now show that such infants do not have bad prospects. Prematurely born infants with a birth weight of 1000-1500 g are without any later handicaps with a quota of 85-90% provided they are given well-organized intensive-care treatment. Children between 750-1000 g birth weight are without psychomotor anomalies with an average incidence of 75-80%. However, the few available studies conducted on even more severely immature infants point towards a rapidly rising probability of physical disability if the birth weight is below 750 g or the duration of pregnancy less than 26 weeks. It seems that this denotes the present limit value of perinatal intensive-care medicine.

摘要

极低出生体重早产儿的预后不确定,迄今为止,这使得产科医生和儿科医生在采取何种治疗措施上都存在不确定性。然而,到目前为止所做的随访研究表明,这类婴儿并非前景不佳。出生体重在1000 - 1500克的早产儿,如果接受精心组织的重症监护治疗,85% - 90%的人不会有任何后期残疾。出生体重在750 - 1000克之间的儿童,平均75% - 80%没有精神运动异常。然而,针对更严重未成熟婴儿进行的少数现有研究表明,如果出生体重低于750克或孕期少于26周,身体残疾的可能性会迅速上升。这似乎表明了围产期重症医学目前的极限值。

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