Majewska Z
Neurol Neurochir Pol. 1976 Jan-Feb;10(1):5-8.
The author discusses the problem of prematurity as a criterion of developmental degree in a group of children with diparetic and extrapyramidal forms of infantile cerebral palsy. In the group of diparetic form premature babies born in the 7th month of pregnancy with birth weight below 1700 g prevailed, while in the extrapyramidal form babies born in the 8th month of pregnancy with birth weight above 2000 g were most frequent. This suggests that the development of the diparetic form of infantile cerebral palsy is due to earlier action of the pathogenetic factor. Among the aetiological factors causing the extrapyramidal form in premature babies asphyxia was the most frequent one. This may indicate that changes observed in kernicterus are due primarily to hypoxaemia. In conclusion the author states that premature babies born in the 7th month of pregnancy face mainly the danger of diparesis, while in those born in the 8th month the extrapyramidal form of infantile cerebral palsy is more frequent.
作者探讨了早产问题,将其作为一组双侧瘫和锥体外系型小儿脑性瘫痪患儿发育程度的一个标准。在双侧瘫型组中,妊娠7个月出生、出生体重低于1700克的早产儿占多数,而在锥体外系型组中,妊娠8个月出生、出生体重高于2000克的婴儿最为常见。这表明双侧瘫型小儿脑性瘫痪的发展是由于致病因素的更早作用。在导致早产儿锥体外系型的病因中,窒息是最常见的因素。这可能表明核黄疸中观察到的变化主要是由于低氧血症。总之,作者指出妊娠7个月出生的早产儿主要面临双侧轻瘫的危险,而妊娠8个月出生的早产儿中,锥体外系型小儿脑性瘫痪更为常见。