早产儿小脑内出血：超声检测与预后
Intracerebellar hemorrhage in premature infants: sonographic detection and outcome.
作者信息
Müller Hanna, Beedgen Bernd, Schenk Jens-Peter, Tröger Jochen, Linderkamp Otwin
机构信息
Division of Neonatology, Department of Pediatrics, University of Heidelberg, Germany.
出版信息
J Perinat Med. 2007;35(1):67-70. doi: 10.1515/JPM.2007.010.
AIMS
Intracerebellar hemorrhage is a rarely confirmed diagnosis in preterm infants in comparison to peri-/intraventricular hemorrhage. This study evaluates the incidence of intracerebellar hemorrhage and neurological outcome in preterm infants.
METHODS
260 infants with gestational age of 22-32 weeks were studied prospectively by cranial ultrasound. Neurodevelopmental outcome was examined in the first three years of life.
RESULTS
15 infants had intracranial hemorrhage grade II-IV (10 intraventricular, 6 intracerebellar hemorrhage). Neurodevelopmental follow-up showed that one infant with intracerebellar hemorrhage is severely handicapped, two have moderate and two mild impairments and one has no sequelae.
CONCLUSION
Cerebellar hemorrhage is not rare if ultrasound examination is specifically focused on cerebellar lesions.
目的
与脑室周围/脑室内出血相比，小脑内出血在早产儿中是一种很少得到确诊的诊断。本研究评估早产儿小脑内出血的发生率及神经学转归。
方法
对260例孕龄为22 - 32周的婴儿进行前瞻性颅脑超声检查。在生命的头三年对神经发育转归进行检查。
结果
15例婴儿发生II - IV级颅内出血（10例脑室内出血，6例小脑内出血）。神经发育随访显示，1例小脑内出血婴儿重度残疾，2例中度残疾，2例轻度残疾，1例无后遗症。
结论
如果超声检查专门针对小脑病变，小脑出血并不罕见。
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