Ruffini E, De Petris L, Zorzi G, Paoletti P, Mambelli G, Carlucci A
Pediatr Med Chir. 2013 Nov-Dec;35(6):285-7. doi: 10.4081/pmc.2013.26.
The adrenal hemorrhage is a relatively rare event in newborns but must be considered in the presence of a persistent unexplained jaundice, especially in presence of predisposing factors. Serial ultrasonography is the modality of choice for initial diagnosis and follow-up of neonatal adrenal hemorrhage. We report two cases of neonatal adrenal hemorrhage presenting with persistent jaundice. The causes of the neonatal adrenal hemorrhages were a difficult vaginal delivery in macrosomic infant and a neonatal infection.
肾上腺出血在新生儿中是相对罕见的事件,但在出现持续性不明原因黄疸时必须予以考虑,尤其是存在易感因素的情况下。连续超声检查是新生儿肾上腺出血初始诊断及随访的首选方式。我们报告两例表现为持续性黄疸的新生儿肾上腺出血病例。新生儿肾上腺出血的原因分别是巨大儿的阴道难产和新生儿感染。