新生儿帽状腱膜下出血：发病趋势、相关性和结局的 20 年回顾。
Neonatal subgaleal hemorrhage: twenty years of trends in incidence, associations, and outcomes.
机构信息
University of Utah, Student, Salt Lake City, UT, USA.
Obstetric and Neonatal Operations, Intermountain Healthcare, Salt Lake City, UT, USA.
出版信息
J Perinatol. 2023 May;43(5):573-577. doi: 10.1038/s41372-022-01541-z. Epub 2022 Oct 28.
BACKGROUND
In 2011, we reported 38 neonates with subgaleal hemorrhage (SH), relating an increasing incidence. It is unclear whether the incidence in our hospitals continued to rise and which risk factors and outcomes are associated with this condition.
DESIGN
We retrospectively analyzed every recognized case of SH in our hospitals from the end of our previous report (2010) to the present (2022). We redescribed the incidence, scored severity, tabulated blood products transfused, and recorded outcomes.
RESULTS
Across 141 months, 191 neonates were diagnosed with SH; 30 after vacuum or forceps. The incidence (one/1815 births) was higher than in our 2011 report (one/7124 births). Also, severe SH (requiring transfusion) was more common (one/10,033 births vs. one/20,950 births previously). Four died (all with severe SH) and 12 had neurodevelopmental impairment.
CONCLUSION
Recognized cases of SH are increasing in our system without a clear explanation. Adverse outcomes are rare but continue to occur.
背景
2011 年，我们报道了 38 例新生儿帽状腱膜下出血（SH）病例，发病率呈上升趋势。目前尚不清楚我院的发病率是否持续上升，以及哪些危险因素和结局与此情况相关。
设计
我们回顾性分析了我院自上一次报告（2010 年）结束到目前（2022 年）期间每例确诊的 SH 病例。我们重新描述了发病率、严重程度评分、输注的血液制品，并记录了结局。
结果
在 141 个月期间，我院共诊断出 191 例 SH 新生儿，其中 30 例发生在负压吸引或产钳助产之后。发病率（1/1815 例）高于我们 2011 年报告的发病率（1/7124 例）。此外，严重 SH（需要输血）更为常见（1/10033 例 vs. 1/20950 例）。4 例患儿死亡（均为严重 SH），12 例患儿存在神经发育障碍。
结论
我们的研究系统中，SH 的确诊病例在增加，但目前尚无法明确原因。不良结局虽罕见，但仍时有发生。
Zotero 插件