Distefano G, Sciacca P, Marletta M, Caracciolo M C, Di Stefano G C, Romeo M G
Cattedra di Neonatologia, Università di Catania, Italia.
Pediatr Med Chir. 1996 Mar-Apr;18(2):161-7.
The Authors studied some mortality indices in the neonatal intensive and subintensive care unit of the University of Catania in order to assess the degree of efficiency of perinatal assistance. This Unit is the largest in southeastern Sicily and admits only outborn newborns from the city of Catania, the Catania province and other provinces. Comparison of the 1991-92 and the 1993-94 data revealed a marked reduction in the mortality rate, however this fall was only marginal in newborns of, or under 1,000 g. There was a marked decrease in the mortality rate from respiratory distress, especially in ventilated newborns receiving additional surfactant. Comparison of the data showed that in both study periods the mortality rate was much higher in newborns over 6 hours of life, in those presenting hematic pH values under 7.25 at admission and in those coming from other provinces. These results underline that it is essential for the political authorities to boost neonatal assistance in the delivery room and to ensure adequate transport of distressed newborns.
作者们对卡塔尼亚大学新生儿重症和次重症监护病房的一些死亡率指标进行了研究，以评估围产期护理的效率。该病房是西西里岛东南部最大的，仅收治来自卡塔尼亚市、卡塔尼亚省及其他省份的外地出生的新生儿。1991 - 92年和1993 - 94年数据的比较显示死亡率显著下降，然而体重在1000克及以下或出生体重1000克以下的新生儿的死亡率下降幅度很小。呼吸窘迫导致的死亡率显著下降，尤其是在接受额外表面活性剂治疗的通气新生儿中。数据比较表明，在两个研究期间，出生后6小时以上的新生儿、入院时血液pH值低于7.25的新生儿以及来自其他省份的新生儿的死亡率要高得多。这些结果强调，政治当局必须加强产房的新生儿护理，并确保对窘迫新生儿进行适当转运。
