Rickham P P
Z Kinderchir. 1982 Feb;35(2):46-50. doi: 10.1055/s-2008-1059901.
After 33 years experience in neonatal surgery the considerable progress in this branch of medicine can be reviewed. The initially very high mortality was drastically reduced by the foundation of the first neonatal surgical unit in Liverpool in 1953, a unit which in the succeeding years was copied in most large paediatric surgical centres all over the world. The reasons why these units have today tended to become obsolete are discussed. Neonatal intensive therapy units for medical as well as surgical cases are now preferred in most centres. The great advances in chemotherapy, the therapy of respiratory complications, intravenous alimentation and monitoring of the patient have further decreased the operative mortality in neonates to such a degree that today only few problems remain.
在拥有33年新生儿外科经验之后，可以回顾一下这一医学分支所取得的显著进展。1953年利物浦首个新生儿外科病房的建立，极大降低了起初极高的死亡率，在随后的几年里，世界各地的大多数大型儿科外科中心纷纷效仿该病房。本文讨论了如今这些病房逐渐过时的原因。现在，大多数中心更倾向于设立针对内科和外科病例的新生儿重症治疗病房。化疗、呼吸并发症治疗、静脉营养及患者监测等方面的巨大进步，进一步降低了新生儿手术死亡率，如今仅剩下为数不多的问题。
