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新生儿出血后脑积水的生物标志物。

Biomarkers in neonatal posthemorrhagic hydrocephalus.

机构信息

Division of Neonatology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 45229, USA.

出版信息

Neonatology. 2012;101(1):1-7. doi: 10.1159/000323498. Epub 2011 Jul 27.

DOI:10.1159/000323498
PMID:21791933
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3699811/
Abstract

Posthemorrhagic hydrocephalus (PHH) is a rare but serious outcome among premature babies in the NICU, with consequences including mortality and severe neurodevelopmental disabilities. The causes of PHH are still not entirely understood, and its prevention and treatment are controversial. Various cerebrospinal fluid biomarkers have been studied in infants with PHH in order to recognize the causes, diagnose brain injury, and predict neurodevelopmental outcomes. This systematic review summarizes studies on biomarkers of extracellular matrix activity, fibrinolysis/coagulation, hypoxia/cell death, and inflammation in the cerebrospinal fluid of infants with PHH.

摘要

迟发性出血性脑积水(Posthemorrhagic hydrocephalus,PHH)是新生儿重症监护病房(NICU)中早产儿的一种罕见但严重的后果,其后果包括死亡和严重的神经发育障碍。PHH 的病因尚不完全清楚,其预防和治疗存在争议。已经对患有 PHH 的婴儿进行了各种脑脊液生物标志物的研究,以识别病因、诊断脑损伤并预测神经发育结局。本系统综述总结了关于 PHH 婴儿脑脊液中细胞外基质活性、纤维蛋白溶解/凝血、缺氧/细胞死亡和炎症生物标志物的研究。

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Randomized trial of drainage, irrigation and fibrinolytic therapy for premature infants with posthemorrhagic ventricular dilatation: developmental outcome at 2 years.随机试验:对于患有出血后脑室扩张的早产儿,采用引流、灌洗和纤维蛋白溶解治疗的效果:2 年时的发育结果。
Pediatrics. 2010 Apr;125(4):e852-8. doi: 10.1542/peds.2009-1960. Epub 2010 Mar 8.
2
Relation between TGF-beta 1 levels in cerebrospinal fluid and ETV outcome in premature newborns with posthemorrhagic hydrocephalus.出血后脑积水早产儿脑脊液中转化生长因子-β1水平与内镜下第三脑室造瘘术预后的关系
Childs Nerv Syst. 2010 Mar;26(3):333-41. doi: 10.1007/s00381-009-1011-7. Epub 2009 Oct 13.
3
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Matrix metalloproteinases in infants with posthemorrhagic hydrocephalus.出血后脑积水婴儿中的基质金属蛋白酶
Early Hum Dev. 2008 Feb;84(2):137-9. doi: 10.1016/j.earlhumdev.2007.08.006. Epub 2007 Oct 4.
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Pediatr Res. 2007 Jun;61(6):722-6. doi: 10.1203/pdr.0b013e31805341f1.
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Randomized clinical trial of prevention of hydrocephalus after intraventricular hemorrhage in preterm infants: brain-washing versus tapping fluid.早产儿脑室内出血后脑积水预防的随机临床试验:冲洗与引流脑脊液对比
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Pediatr Res. 2004 Nov;56(5):768-74. doi: 10.1203/01.PDR.0000141524.32142.53. Epub 2004 Aug 19.