Arrøe M, Peitersen B
Børneafdelingen, Hvidovre Hospital, København.
Ugeskr Laeger. 1994 Jan 17;156(3):303-7.
In the period 1985 to 1991, 80 infants with gestational age below 28 completed weeks were born at Hvidovre Hospital, Copenhagen and transferred to the neonatal intensive care unit of the hospital. The incidence of extreme prematurity was 3.6 0/00. Twenty-eight infants died during the neonatal period (35%) and nine infants died later in infancy (11.3%). Forty-three infants (54%) survived. Forty four percent of surviving infants had one or more sequelae related to their prematurity or neonatal complications, mainly blindness or reduced vision, cerebral palsy and mental retardation. Neither gender, mode of delivery or birth asphyxia were important for survival and sequels. Neonatal complications such as patent ductus arteriosus, septicaemia, necrotizing enterocolitis, pneumothorax and cerebral haemorrhages were significantly related to survival and sequelae.
1985年至1991年期间,哥本哈根市维德医院出生了80名孕周不足28足周的婴儿,并被转入该医院的新生儿重症监护病房。极早早产的发生率为3.6‰。28名婴儿在新生儿期死亡(35%),9名婴儿在婴儿期后期死亡(11.3%)。43名婴儿(54%)存活。存活婴儿中有44%有一项或多项与早产或新生儿并发症相关的后遗症,主要是失明或视力减退、脑瘫和智力迟钝。性别、分娩方式或出生窒息对存活和后遗症均无重要影响。动脉导管未闭、败血症、坏死性小肠结肠炎、气胸和脑出血等新生儿并发症与存活和后遗症显著相关。