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新生儿颅内出血是新生儿期常见危重病症之一。以早产儿发病率及病死率较高,我院自1995年以来,采用脱水,止血及能量治疗的基础上,辅以脑活素治疗取得良好效果,现报告如下。1 临床资料 本组新生儿颅内出血分别有足月儿10例.早产儿 6例,男10例,女6例,顺产出生9例,钳产5例,剖腹产2例。胎龄由32～43周。体重2.0～3.9kg。出生时有窒息史6例。临床上以呕吐、拒奶,阵发性青紫,嗜睡,握持反射消失,前囱紧张为主要症状。要作CT扫描确诊颅内出血。2治疗方法与效果 对确诊颅内出血病例以常规治疗,即输氧,脱水,能量(ATP、辅酶A、细胞色素C)。加用奥地利进口脑活素针剂5ml,与10％葡萄糖30ml稀释静脉滴注。每日1次,连用10～21天。结果病情改善较快。用药2～3天,观察呕吐,阵发性青紫消失。4～5天握持反射,吸吮反射恢复。仅有1例呕吐窒息抢救无效死亡,2例早产女婴治疗3天,强行自动出院。其余全部康复出院。
Neonatal intracranial hemorrhage is one of the common critical illness in neonatal period. The morbidity and mortality of premature children is high. Since 1995, our hospital has adopted dehydration, hemostasis and energy therapy, and supplemented with cerebrolysin, and achieved good results. The report is as follows. 1 clinical data of neonatal intracranial hemorrhage in children were 10 cases of full-term infants, 6 cases of premature children, 10 males and 6 females, 9 were born in the delivery, the clamp in 5 cases, caesarean section in 2 cases. Gestational age from 32 to 43 weeks. Weight 2.0 ~ 3.9kg. Birth history of asphyxia in 6 cases. Clinically vomiting, refusing to milk, paroxysmal bruising, drowsiness, reflex grip disappeared, before the chimney tension as the main symptoms. CT scan to be diagnosed intracranial hemorrhage. 2 treatment methods and results of the diagnosis of intracranial hemorrhage cases of conventional treatment, namely, oxygen, dehydration, energy (ATP, Coenzyme A, cytochrome C). Plus Austria imported brain activity injection 5ml, and 10% glucose 30ml diluted intravenous infusion. 1 day, once every 10 to 21 days. As a result, the condition improved rapidly. Medication 2 to 3 days, observed vomiting, paroxysmal bruising disappeared. 4 ~ 5 days to hold the reflection, sucking reflex recovery. Only one case of vomiting and suffocation rescue died, 2 cases of premature baby girl treated 3 days, forcibly discharged automatically. The rest all recovered and discharged.