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目的探讨以呼吸障碍为主要表现的新生儿颅内出血的临床特点,以提高诊断率,降低死亡率和伤残率。方法回顾分析105例确诊为新生儿颅内出血中以呼吸障碍为主要表现的52例患儿临床资料。结果误诊15例、漏诊2例,放弃治疗4例、治愈44例、死亡4例。结论对围产期异常者,特别是早产儿,出现早期呼吸系统症状者,应高度重视颅内出血的可能;早期明确诊断,及时合理治疗是提高生存率和改善预后的关键。
Objective To explore the clinical features of neonatal intracranial hemorrhage with respiratory disorders as the main manifestation to improve the diagnostic rate and reduce the mortality and disability rate. Methods A retrospective analysis of 105 cases of neonatal intracranial hemorrhage diagnosed with respiratory disorders as the main clinical manifestations of 52 cases of children. Results Misdiagnosis in 15 cases, missed diagnosis in 2 cases, give up treatment in 4 cases, cured in 44 cases, 4 cases died. Conclusions Perinatal abnormalities, especially in premature infants, should be given high priority for intracranial hemorrhage in those with early respiratory symptoms. Early diagnosis and proper treatment are the keys to improve survival rate and improve prognosis.