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目的 探讨新生儿视网膜出血的发生原因。方法 对我院新生儿科收治的各类患儿 1 85例进行眼底检查 ,并对 42例新生儿视网膜出血病例进行分析。结果 新生儿视网膜出血检出率为2 2 7%。其中阴道分娩较剖腹产术分娩者检出率高 ,重度窒息较轻度窒息及非窒息新生儿高 ,其差异均有极显著统计学意义 (P <0 0 1 ) ;而轻度窒息与非窒息新生儿之间差异无显著性 (P >0 0 5 )。新生儿性别、胎次、胎龄、出生体重等与新生儿视网膜出血的发生无关。结论 新生儿视网膜出血的发生与分娩方式有关 ,窒息是引起新生儿视网膜出血的一个不容忽视的原因 ,而且窒息程度与视网膜出血的发生密切相关。
Objective To investigate the causes of neonatal retinal hemorrhage. Methods One hundred and seventy-five cases of all kinds of infants admitted to neonatology department of our hospital were examined by fundus examination, and 42 cases of neonatal retinal hemorrhage were analyzed. Results The detection rate of neonatal retinal hemorrhage was 22.7%. Among them, the detection rate of vaginal delivery was higher than that of cesarean delivery, severe asphyxia, mild asphyxia and non-asphyxiated neonates, the differences were statistically significant (P <0.01); mild asphyxia and non-asphyxia There was no significant difference between newborns (P> 0.05). Neonatal sex, parity, gestational age, birth weight and neonatal retinal bleeding has nothing to do. Conclusion The occurrence of retinal hemorrhage in neonates is related to the mode of delivery. Asphyxia is a cause of neonatal retinal hemorrhage that can not be ignored. And the degree of suffocation is closely related to the occurrence of retinal hemorrhage.