人类新生婴儿的觉醒与意识的出现。

IF 2.1 4区 医学 Q1 PEDIATRICS Acta Paediatrica Pub Date : 2025-02-15 DOI:10.1111/apa.70031
Hugo Lagercrantz
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引用次数: 0

摘要

意识在子宫和出生后逐渐发展,而不是一种全有或无的现象。新生儿在出生时被唤醒和醒来,这是由于它在从水生环境过渡到空气环境的过程中所经历的巨大的感官刺激和压力。新生儿的第一次呼吸激活蓝斑,从新生儿的大瞳孔可以看出。婴儿似乎意识到自己的身体,可以识别母亲的面部表情、声音和气味。一个默认模式网络在出生后不久就成熟了,它似乎使大脑保持有意识的状态。因此,新生婴儿可能是有意识的,尽管水平很低。在怀孕24周后,胎儿也显示出一些有意识的迹象,尽管他主要是在子宫里睡觉,对周围环境的意识较少。在这个阶段之前,来自初级体感、视觉和听觉区域的神经还没有与大脑皮层中的意识部位连接起来。
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The Awakening of the Newborn Human Infant and the Emergence of Consciousness

Consciousness develops gradually in the womb and after birth, rather than being an all or none phenomenon. A newborn infant is aroused and wakes up at birth, due to the enormous sensory stimulation and stress that it undergoes during the transition from an aquatic environment to air. Its first breaths activate the locus coeruleus, as indicated by the large pupils of the newborn. The infant seems to be aware of its body and can recognise its mother's facial expressions, voice and smell. A default mode network matures soon after birth which appears to keep the brain in a conscious state. Thus the newborn infant is probably conscious, albeit at a low level. The foetus also shows some signs of being conscious after about 24 weeks of gestation, although it is mainly asleep in the womb and less aware of its environment. Before that stage, the nerves from the primary somatosensory, visual and auditory areas are not yet connected with the site of consciousness in the cerebral cortex.

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来源期刊
Acta Paediatrica
Acta Paediatrica 医学-小儿科
CiteScore
6.50
自引率
5.30%
发文量
384
审稿时长
2-4 weeks
期刊介绍: Acta Paediatrica is a peer-reviewed monthly journal at the forefront of international pediatric research. It covers both clinical and experimental research in all areas of pediatrics including: neonatal medicine developmental medicine adolescent medicine child health and environment psychosomatic pediatrics child health in developing countries
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