论文部分内容阅读
为了降低新生儿颅内出血的病死率与伤残率 ,对 1 998年 1 0月～ 1 999年 3月具有窒息、异常分娩、产前产时并发症者的患儿生后 3～ 7天 3 7例行颅脑超声检查、63例行头颅CT检查。 1 0 0例中 <3 7周 3 2例。结果显示 :1 SAH 60例 (61 0 %) ,SEH -IVH 3 4例 (3 4 0 %) ,IPH 3例 (3 0 %) ,SDH 1例 (1 %) ;2 出生体重 <2 50 0g者SEH -IVH明显高于≥ 2 50 0g而SAH≥ 2 50 0g者明显高于 <2 50 0g。χ2 分别为3 9 62 8,2 6 789。P <0 0 1 ;3 不同类型ICH的临床表现SEH -IVH以抑制青紫为主 ,而SAH以兴奋为主。因此建议 ,对具有高危因素的患儿常规作床边颅脑超声 ,病情稳定者作CT检查可以及早发现ICH ,对IVHⅢ～Ⅳ级患儿可考虑连续腰椎穿刺放脑脊液以减少脑积水的发生。
In order to reduce mortality and morbidity of intracranial hemorrhage in newborns, children with asphyxia, abnormal delivery, complications during prenatal delivery from March 1998 to March 1999 were treated 3 to 7 days after birth 3 7 cases of cranial ultrasound, 63 cases of head CT examination. <100 cases in <37 weeks 322 cases. The results showed that: 1 SAH 60 cases (61 0%), SEH -IVH 34 cases (34%), IPH 3 cases (30%), SDH 1 case SEH-IVH was significantly higher than ≥ 2 50 0g SAH ≥ 250g were significantly higher than <2 50g. χ2 are 3 9 62 8,2 6 789, respectively. P <0.01; 3 clinical manifestations of different types of ICH SEH -IVH to suppress bruising, and SAH mainly excited. Therefore, it is suggested that for patients with high risk factors for bedside craniocerebral ultrasound, CT examination of stable patients can be found early ICH, IVH Ⅲ ~ Ⅳ grade children can consider continuous lumbar puncture put cerebrospinal fluid to reduce the occurrence of hydrocephalus .