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[成熟和早产儿的颅内出血。计算机断层扫描及临床随访研究]

[Intracranial hemorrhages in mature and premature infants. Computer tomography and clinical follow-up studies].

作者信息

Kopp W, Tölly E, Kaulfersch W, Fritsch G, Schneider G H

出版信息

Monatsschr Kinderheilkd. 1986 Feb;134(2):84-8.

PMID:3702880
Abstract

The findings of CT-follow-up-studies on a group of 94 infants, who had suffered intracranial hemorrhage, were correlated with the clinical and neurological outcome. Purpose of the retrospective study was to work out prognostic criteria dependent on the typ and location of the hemorrhage. Among the infants with intraventricular hemorrhage, there was a direct relationship between the severity of the hemorrhage and major handicaps on the one hand and the mortality rate on the other hand. Neurologic sequelae were noted in 16.5% of the infants with tentorial hemorrhages, in 56% of the infants with intracerebral hemorrhages and 37.5% of the infants with subarachnoid hemorrhages. Our results indicate, that the outcome of infants with intracranial hemorrhages is not dependent on the typ and severity of the bleeding only, but is also influenced by additional factors, like perinatal asphyxia.

摘要

对一组94名曾患颅内出血的婴儿进行CT随访研究的结果,与临床和神经学转归相关。这项回顾性研究的目的是制定取决于出血类型和部位的预后标准。在患有脑室内出血的婴儿中,出血严重程度一方面与严重残疾直接相关,另一方面与死亡率直接相关。在患有天幕下出血的婴儿中,16.5%出现神经后遗症;在患有脑内出血的婴儿中,56%出现神经后遗症;在患有蛛网膜下腔出血的婴儿中,37.5%出现神经后遗症。我们的结果表明,颅内出血婴儿的转归不仅取决于出血类型和严重程度,还受其他因素影响,如围产期窒息。

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CT detection and course of intracranial hemorrhage in premature infants.
AJR Am J Roentgenol. 1978 Sep;131(3):493-7. doi: 10.2214/ajr.131.3.493.

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