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目的探讨新生儿肾上腺出血的临床特点、超声表现及诊断价值。方法收集我院2007年6月至2012年7月有黄疸、窒息等临床表现的新生儿肾上腺出血患儿资料,分析新生儿肾上腺出血的临床特点及超声表现。结果共30例新生儿肾上腺出血患儿,诊断日龄1h至27天,其中<7天23例,≥7天7例;男22例,女8例;右侧26例,左侧4例。超声表现特征为肾上腺区混合回声,实性或液性团块,彩色多普勒不能探及血流信号。临床表现87%有黄疸,13%有贫血、休克等表现,30例均治愈。结论新生儿肾上腺出血临床表现多样,缺乏特异性,多表现为黄疸,保守治疗治愈率高;超声是首选检查方法。
Objective To investigate the clinical features, sonographic findings and diagnostic value of neonatal adrenal hemorrhage. Methods The data of neonates with adrenal hemorrhage from jaundice to asphyxia in our hospital from June 2007 to July 2012 were collected to analyze the clinical features and ultrasound manifestations of neonatal adrenal bleeding. Results A total of 30 neonates with adrenal hemorrhage were diagnosed from 1 day to 27 days old, of which 23 cases were less than 7 days and 7 cases were more than 7 days. There were 22 males and 8 females, 26 on the right and 4 on the left. Ultrasonographic features of the adrenal area mixed echo, solid or liquid mass, color Doppler can not probe and blood flow signal. 87% of clinical manifestations of jaundice, 13% anemia, shock and other performance, 30 cases were cured. Conclusions The clinical manifestations of neonatal adrenal hemorrhage are diverse, lack of specificity, mostly manifested as jaundice, conservative treatment of high cure rate; ultrasound is the preferred method of examination.