Goujard J, Crost M, Delecour M, Dubois O, du Mazaubrun C, Ponte C, Rumeau-Rouquette C
Arch Fr Pediatr. 1982 Jan;39(1):41-7.
An extensive study was undertaken in northern France from January 1st to May 31st 1978, concerning the transfer of neonates from maternity hospitals to specialized units. Analysis of 250 children whose birth weight was below 2,000 gm showed that several risk factors could be taken into account to reduce neonatal mortality in this area. Prematurity (22% children weighing less than 1,500 gm in those discharged alive, 54% in the dead), neonatal distress (36% versus 61% of resuscitation) hypothermia (7% versus 23% with temperature below 34 degrees 6 at the time of admission), the need for an other transfer (1% vs. 12%) seem to be features highly related with poor prognosis. This stresses the importance of the prevention of prematurity, of proper management of the babies in the maternity hospital, of the conditions of transport and of the choice of the neonatal unit.
1978年1月1日至5月31日期间，在法国北部开展了一项关于新生儿从妇产医院转至专科医院的广泛研究。对250名出生体重低于2000克的儿童进行分析后发现，可考虑若干风险因素以降低该地区的新生儿死亡率。早产（存活出院儿童中体重低于1500克的占22%，死亡儿童中占54%）、新生儿窘迫（复苏率分别为36%和61%）、体温过低（入院时体温低于34.6度的比例分别为7%和23%）、需要再次转运（比例分别为1%和12%）似乎是与预后不良高度相关的特征。这凸显了预防早产、在妇产医院妥善管理婴儿、转运条件以及新生儿科室选择的重要性。
