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早产儿颅内出血的危险因素

Risk factors of intracranial hemorrhage in premature neonates.

作者信息

Khalessi Nasrin, Farahani Zahra, Shariat Mamak, Rezaeizadeh Golnaz

机构信息

Department of Neonatology, Aliasghar Children Hospital, Iran University of Medical Sciences, Tehran, Iran.

Family Health Institute, Breastfeeding Research Center, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Acta Med Iran. 2014;52(9):687-9.

Abstract

Intraventricular hemorrhage (IVH) is an important cause of brain injury in premature neonates. Current study tries to define associated risk factors of IVH in preterm neonates in Aliasghar Children Hospital during 2008 to 2011. In this study, the risk factors have been evaluated in premature neonates with IVH, who had at least one brain sonography since their admission in NICU. A total of 63 premature neonates with IVH were assessed. Mean gestational age was 29.81 (24-34) weeks and mean birth weight was 1290.83±382.96 gr. Other risk factors such as sex, mode of delivery, history of using infertility drugs, maternal disease, maternal hypertension and preeclampsia, lumbar puncture, ventilator therapy and pneumothorax were considered. Because no absolute treatment for IVH is available, identifying risk factors is important in prevention and management of IVH.

摘要

脑室内出血(IVH)是早产新生儿脑损伤的一个重要原因。当前研究试图确定2008年至2011年期间阿利亚斯加尔儿童医院早产新生儿IVH的相关危险因素。在本研究中,对入住新生儿重症监护病房(NICU)后至少接受过一次脑部超声检查的IVH早产新生儿的危险因素进行了评估。共评估了63例IVH早产新生儿。平均胎龄为29.81(24 - 34)周,平均出生体重为1290.83±382.96克。还考虑了其他危险因素,如性别、分娩方式、使用不孕药物史、母体疾病、母体高血压和先兆子痫、腰椎穿刺、机械通气治疗和气胸。由于目前尚无针对IVH的绝对有效治疗方法,识别危险因素对于IVH的预防和管理至关重要。

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