Papile L A, Burstein J, Burstein R, Koffler H
J Pediatr. 1978 Apr;92(4):529-34. doi: 10.1016/s0022-3476(78)80282-0.
We have performed brain scanning by computed tomography on 46 consecutive live-born infants whose birth weights were less than 1,500 gm; 20 of them had evidence of cerebral intraventricular hemorrhage. Nine of the 29 infants who survived had IVH. Four grades of IVH were identified. Grade I and II lesions resolved spontaneously, but there was prominence of the interhemispheric fissue on CT of the infants at six months of age. Hydrocephalus developed in infants with Grade III and IV lesions. Seven of the surviving infants with IVH did not have clinical evidence of hemorrhage. There were no significant differences between the infants with and without IVH in birth weight, gestational age, one- and five-minute Apgar scores, or the need for resuscitation at birth or for subsequent respiratory assistance.
我们对46例出生体重小于1500克的活产婴儿进行了计算机断层扫描脑部检查；其中20例有脑室内出血的证据。29例存活婴儿中有9例发生脑室内出血。确定了脑室内出血的四个等级。I级和II级病变可自发消退，但6个月大婴儿的CT显示半球间裂增宽。III级和IV级病变的婴儿发生了脑积水。7例存活的脑室内出血婴儿没有出血的临床证据。有脑室内出血和无脑室内出血的婴儿在出生体重、胎龄、1分钟和5分钟阿氏评分、出生时复苏需求或随后的呼吸支持需求方面没有显著差异。
