Haas G
Monatsschr Kinderheilkd. 1983 Oct;131(10):702-7.
New scientific results and progress in technology allow even premature infants with very low birth weight to survive today. A vehement discussion arouse about effectiveness and efficiency of intensive care programs for these infants. However, an appreciation of the results at present should not be made without taking note of those achieved in former decades. A. Ylppö was the first pediatrician in Germany at the beginning of the 20th century, who was working systematically for the survival of low birth weight infants. He achieved remarkable results even at that time. After World War II the chances for survival of low birth weight infants became worse because of dangerous therapeutic innovations. In the 60's the frequency of serious sequelae could be reduced by improved therapeutic approaches. Since then the mortality rate is decreasing, whereas the frequency of serious sequelae remains nearly stable during the last 15 years. We hope that clinical research and new technologies may also reduce the morbidity of surviving premature babies in the future.
新的科学成果和技术进步使得如今即使是极低体重的早产儿也能存活下来。针对这些婴儿的重症监护项目的有效性和效率引发了激烈的讨论。然而，在评估当前的结果时，不应忽视过去几十年所取得的成果。A. 伊尔波是20世纪初德国首位系统致力于低体重婴儿存活问题的儿科医生。即便在那个时候，他也取得了显著成果。二战后，由于危险的治疗创新，低体重婴儿的存活几率变得更糟。在60年代，通过改进治疗方法，严重后遗症的发生率得以降低。从那时起，死亡率一直在下降，而在过去15年里，严重后遗症的发生率几乎保持稳定。我们希望临床研究和新技术未来也能降低存活早产儿的发病率。
