164例妊娠24 ~ 28周新生儿结局预测。

G Eg-Andersen
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引用次数: 0

摘要

1984年至1987年间,有164名24至28周后出生的婴儿住进了我们的病房。6例患儿在第6 ~ 57天停止呼吸机治疗,主要原因是严重颅内出血和脑室周围白质软化。在102名(62%)存活的婴儿中,18名(18%)在随访时存在严重残疾(脑瘫、智商低于50、失明),其中6名(6%)存在几种主要残疾的组合。我们的结论是,我们仍然不能可靠地预测严重的残疾,因此我们面临着一个严重的道德困境,我们认为最好的解决办法是家长和员工之间的信任关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prediction of outcome in 164 infants born after 24 to 28 weeks gestation.

Between 1984 and 1987 164 infants born after 24 to 28 completed weeks were admitted to our unit. In 6 children respirator treatment was withdrawn between days 6 and 57 mainly on the basis of severe intracranial bleeding and periventricular leucomalacia. Among 102 (62%) surviving infants, 18 (18%) had a major handicap (cerebral palsy, IQ less than 50, blindness) at follow-up, in 6 of the 18 (6%) there was a combination of several major handicaps. We conclude that we can still not reliably predict serious handicap and we are therefore faced with a serious ethical dilemma which we think can best be approached in a trust-relationship between parents and staff.

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