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【目的】探讨眼底检查对高危儿颅内出血(intracranial hemorrhage,ICH)的预测价值。【方法】回顾性分析本院在矫正胎龄45周内已行头颅CT/MRI及眼底检查的423例高危儿病例。【结果】颅内出血122例、眼底出血202例,眼底出血高危儿202例中头颅CT/MRI证实有颅内出血109人(53.96%),无眼底出血高危儿中颅内出血13人(3.0%),经比较差异具有统计学意义(P<0.01)。有颅内出血高危儿的眼底出血程度与无颅内出血高危儿的眼底出血程度比较,差异有统计学意义(P<0.01)。颅内出血与眼底出血两者之间密切相关(R=62.02,P=0.000)。【结论】高危儿行眼底检查有助于预测其颅内出血的发生。
【Objective】 To investigate the predictive value of fundus examination for intracranial hemorrhage (ICH) in high risk infants. 【Methods】 A total of 423 cases of high risk children who underwent head CT / MRI and fundus examination within 45 weeks after correction were retrospectively analyzed. 【Results】 Among the 122 cases of intracranial hemorrhage, 202 cases of fundus hemorrhage and 202 cases of high risk of retinal hemorrhage, 109 (53.96%) had intracerebral hemorrhage confirmed by head CT / MRI and 13 had intracranial hemorrhage (3.0%) without high risk of retinal hemorrhage. The difference was statistically significant (P <0.01). The degree of fundus hemorrhage with high risk of intracranial hemorrhage was significantly higher than that without fundus bleeding (P <0.01). Intracranial hemorrhage and retinal bleeding are closely related between the two (R = 62.02, P = 0.000). 【Conclusion】 The fundus examination of high-risk children is helpful to predict the occurrence of intracranial hemorrhage.