Masson P, Cécile W
Service de soins intensifs néonatals et pédiatriques, hôpital Victor-Fouche, centre hospitalier régional, Fort-de-France, Martinique, France.
Arch Pediatr. 1998 Aug;5(8):861-8. doi: 10.1016/s0929-693x(98)80127-9.
The mortality and neurodevelopmental outcome of premature infants born between 25 and 33 weeks of gestational age in Fort-de-France (Martinique, French West Indies) is reported.
The preterm cohort included 214 infants born during the years 1992 to 1995.
The mortality rate during the hospitalization was 20%, but was only 14% when the birth weight was more than 1,000 g. The main neonatal problems were: hyaline membrane disease (34%), bronchopulmonary dysplasia (6.5%), necrotizing enterocolitis (6%), intraventricular hemorrhage (9%) and periventricular leucomalacia (2%). Twenty infants (13.5%) showed abnormal neurodevelopmental outcome, with only three having major handicap.
This study shows a notable improvement in the prognosis of premature infants in Fort-de-France. Nevertheless, a strong effort must be made in very low gestational ages and very low birth weight infants.
报道了法属马提尼克岛法兰西堡胎龄在25至33周之间出生的早产儿的死亡率和神经发育结局。
该早产队列包括1992年至1995年期间出生的214名婴儿。
住院期间死亡率为20%，但出生体重超过1000克时仅为14%。主要的新生儿问题有：透明膜病（34%）、支气管肺发育不良（6.5%）、坏死性小肠结肠炎（6%）、脑室内出血（9%）和脑室周围白质软化（2%）。20名婴儿（13.5%）显示神经发育结局异常，只有3名有严重残疾。
本研究表明法兰西堡早产儿的预后有显著改善。然而，对于极低胎龄和极低出生体重的婴儿仍需付出巨大努力。
