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[出生体重小于或等于1500克新生儿的围产期危险因素与脑室内出血]

[Perinatal risk factors and intraventricular hemorrhage in newborn infants of birth weight less than or equal to 1,500 g].

作者信息

Reiterer F, Ritschl E, Rosanelli K, Müller W D

出版信息

Padiatr Padol. 1987;22(2):179-84.

PMID:3614951
Abstract

In a retrospective study in 113 preterm newborns (birth weight less than or equal to 1500 g, gestational age less than 35 weeks) intraventricular hemorrhage (IVH I-IV) determined by serial sonographic examinations was correlated to a number of maternal and neonatal risk factors. While there was no significant correlation to bleeding during the gestation, premature rupture of the membranes, mode of delivery, and age of the mother, incidence of IVH was significantly lower in newborns born to mothers with EPH-gestoses (p less than 0.05). A significant high incidence of IVH was found in very premature newborns (p less than 0.025) and in newborns with hyaline membrane disease (p less than 0.005). No single risk factor for a high incidence of IVH was found. IVH in very low birth weight infants probably is caused by summation of several different perinatal risk factors.

摘要

在一项对113例早产儿(出生体重小于或等于1500克,胎龄小于35周)的回顾性研究中,通过系列超声检查确定的脑室内出血(IVH I-IV级)与一些母体和新生儿危险因素相关。虽然与孕期出血、胎膜早破、分娩方式及母亲年龄无显著相关性,但患妊娠高血压综合征的母亲所生新生儿的IVH发生率显著较低(p<0.05)。在极早产儿(p<0.025)和患有透明膜病的新生儿中发现IVH的发生率显著较高(p<0.005)。未发现单一的IVH高发生率危险因素。极低出生体重儿的IVH可能是由几种不同围产期危险因素共同作用所致。

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