Fox P E, Rutter N
Department of Neonatal Medicine and Surgery, City Hospital, Nottingham, UK.
Early Hum Dev. 1998 May 29;51(2):171-7. doi: 10.1016/s0378-3782(97)00112-6.
Many of the techniques used in newborn intensive care damage the skin and may lead to scarring. We have investigated a cohort of consecutive survivors of newborn intensive care for the presence of scars. Ninety of the original 100 children between the ages of 8 and 9 years were examined in detail by a single observer--the number, site and severity of the scars were noted and compared with the findings when the children were 2 years old. There was an overall reduction in the number of scars with time, regardless of gestational age. Scars from needlemarks were reduced by 41% and those from intravenous accidents by 70%, compared with those seen at 2 years. Scars from chest drains were still visible, in two cases requiring corrective surgery. Nine children and their families found that the scars caused them embarrassment. The only scars which did not usually improve with time and which were often judged to be worse cosmetically were those caused by surgery.
新生儿重症监护中使用的许多技术会损伤皮肤，并可能导致瘢痕形成。我们对一组连续的新生儿重症监护幸存者进行了瘢痕情况调查。最初的100名8至9岁儿童中，90名由一名观察者进行了详细检查——记录了瘢痕的数量、位置和严重程度，并与这些儿童2岁时的检查结果进行比较。无论胎龄如何，瘢痕数量总体上随时间减少。与2岁时相比，针眼瘢痕减少了41%，静脉意外造成的瘢痕减少了70%。胸管造成的瘢痕仍然可见，有两例需要进行矫正手术。9名儿童及其家人发现瘢痕让他们感到尴尬。通常不会随时间改善且在美容方面常被认为更糟的瘢痕是手术造成的瘢痕。
