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足月新生儿原发性颅内出血虽属少见,但为人们所熟知。但丘脑出血未曾有过报道。作者报道4例。例1。足月剖腹产女婴,生后11天因呕吐、烦躁入院,眼呈日落征,左侧面瘫,角弓反张,前囱饱满。CSF红细胞700,000,血小板465,000。头颅超声检查显示右侧丘脑有一大的出血灶和双侧脑室梗塞,并为CT所证实。全脑血管造影正常。用苯巴比妥、氯醛和地塞米松治疗后很快好转,但日落征持续三个月,头围缓慢增大,并出现右眼会聚性斜视。
Although it is rare for full-term neonatal primary intracranial hemorrhage, it is well-known. However, there have never been reports of thalamic hemorrhage. The authors report 4 cases. example 1. Full-term caesarean section baby girl, 11 days after birth due to vomiting, irritability admitted to the hospital, the eye showed signs of sunset, paralysis on the left side, angle arch anti-Zhang, full before the chimney. CSF erythrocytes 700,000, platelets 465,000. Ultrasound examination of the skull showed a large hemorrhage and bilateral cerebral infarction in the right thalamus and was confirmed by CT. Cerebral angiography is normal. Phenobarbital, chloral and dexamethasone treatment soon improved, but the sunset sign continued for three months, head circumference slowly increased, and the right eye convergence strabismus.