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目的 :了解小儿肾上腺出血的临床病理特点。方法 :以尸检具有肾上腺出血为准 ,对比分析共 37例临床和病理资料。结果 :相对发病率 10 .3% ;出血部位单纯右侧 34例 (91.9% ) ,单纯髓质出血 17例 (45 .9% ) ,皮髓质均出血 2 0例 (5 4.1% ) ;导致出血的原发病主要为各种不同原因的肺炎合并心力衰竭 (43.2 % )和新生儿肺膨胀不全 (10 .8% ) ,新生儿出血症等。结论 :该组肾上腺出血多见右侧、髓质 ,原发病主要为各种不同原因的肺炎合并心力衰竭及新生儿肺膨胀不全等下腔静脉回流障碍的因素所致。
Objective: To understand the clinicopathological features of pediatric adrenal hemorrhage. Methods: Autopsy with adrenal bleeding prevail, comparative analysis of a total of 37 cases of clinical and pathological data. Results: The relative incidence rate was 10.3%. There were 34 cases (91.9%) of right hemorrhage, 17 cases (45.9%) of pure medullary hemorrhage and 20 cases (5.11%) of hemorrhage in cortex. Primary bleeding is mainly due to various causes of pneumonia with heart failure (43.2%) and neonatal atelectasis (10.8%), neonatal bleeding and so on. Conclusion: The group of adrenal bleeding more common right, medulla, the primary disease is mainly due to various causes of pneumonia complicated with heart failure and neonatal pulmonary insufficiency and other factors caused by inferior vena cava reflux disorder.