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[早产儿颅内出血的早期预后]

[Early prognosis of intracranial hemorrhage in premature infants].

作者信息

Wille L, Keller U, Dillenz M, Stenzel K

出版信息

Monatsschr Kinderheilkd. 1986 Jul;134(7):422-7.

PMID:3748036
Abstract

Between July 1979 and June 1984 an intracerebral haemorrhage developed in 87 premature infants (mean gestational age 29.5 weeks, mean birth weight 1156g). 46 of these died, 41 infants survived. Their psychomotoric development was followed up to a mean age of 19 months. In 63% of the patients the haemorrhage occurred during the first four days of life. Its frequency was highest in premature infants of 27 to 30 weeks of gestation. The survival rate was influenced by the gestational age and by the grade of haemorrhage. Early complications such as ventricular dilatation, hydrocephalus occlusus and porencephaly were seen especially in very immature infants (less than 31 weeks). The frequency of abnormal psychomotoric development in 55% of these infants contrasts with 13.5% in premature infants (less than 1 500 g) without intracerebral haemorrhage.

摘要

1979年7月至1984年6月期间,87例早产儿发生了脑内出血(平均胎龄29.5周,平均出生体重1156克)。其中46例死亡,41例存活。对他们的精神运动发育进行了随访,直至平均年龄19个月。63%的患者在出生后的头四天内发生出血。其发生率在孕27至30周的早产儿中最高。存活率受胎龄和出血程度的影响。早期并发症如脑室扩张、梗阻性脑积水和脑穿通畸形尤其在极不成熟的婴儿(小于31周)中可见。这些婴儿中有55%精神运动发育异常的发生率与无脑内出血的早产儿(小于1500克)中13.5%的发生率形成对比。

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