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新生儿颅内出血及并发脑积水。

Neonatal intracranial hemorrhage and complicating hydrocephalus.

作者信息

Slabaugh R D, Smith J A, Lemons J, Schreiner R, Macdonald N, Cohen M D

出版信息

J Clin Ultrasound. 1984 Jun;12(5):261-6. doi: 10.1002/jcu.1870120506.

DOI:10.1002/jcu.1870120506
PMID:6429202
Abstract

Real-time ultrasound studies of the head were performed on 96 infants weighing 1500 g or less. This population represented all such infants admitted within the first 72 hours of life to a neonatal intensive care unit over a 9-month period. Intracranial subependymal/intraventricular hemorrhage occurred in 22 (23%) of the infants. Of these 13 (59%) developed ventricular enlargement. Four other infants, in whom hemorrhage was not identified, also developed ventricular enlargement. When it occurred, the ventricular enlargement developed within 2 weeks of the hemorrhage in 77% of cases. It reached its maximum size within 2 weeks in 65% of cases. In 9 of 16 cases the maximal ventricular enlargement was categorized as mild. Spontaneous arrest or resolution of the ventriculomegaly occurred in all but two cases, who required shunting. Clot resolution was slow. It was complete at 3 weeks in only 5 of 18 cases.

摘要

对96名体重1500克及以下的婴儿进行了头部实时超声检查。该群体涵盖了在9个月期间出生后72小时内入住新生儿重症监护病房的所有此类婴儿。22名(23%)婴儿发生了颅内室管膜下/脑室内出血。其中13名(59%)出现了脑室扩大。另外4名未发现出血的婴儿也出现了脑室扩大。脑室扩大发生时,77%的病例在出血后2周内出现,65%的病例在2周内达到最大尺寸。16例中有9例最大脑室扩大被归类为轻度。除2例需要分流的病例外,所有病例的脑室扩大均自发停止或消退。血凝块溶解缓慢,18例中只有5例在3周时完全溶解。

相似文献

1
Neonatal intracranial hemorrhage and complicating hydrocephalus.新生儿颅内出血及并发脑积水。
J Clin Ultrasound. 1984 Jun;12(5):261-6. doi: 10.1002/jcu.1870120506.
2
Progressive ventriculomegaly following minor intracranial hemorrhage in premature infants.
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[Extremely low-birth-weight infant with post-hemorrhagic hydrocephalus: surgical procedure and recognition by sonography].
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Reliability of ultrasound in diagnosis of intracerebral hemorrhage and posthemorrhagic hydrocephalus: comparison with computed tomography.超声诊断脑出血及出血后脑积水的可靠性:与计算机断层扫描的比较
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Sector scan ultrasound imaging through the anterior fontanelle. Its use in diagnosing neonatal periventricular-intraventricular hemorrhage.经前囟进行扇形扫描超声成像。其在诊断新生儿脑室周围-脑室内出血中的应用。
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Ultrasound studies in preterm infants with hydrocephalus.对患有脑积水的早产儿进行超声检查。
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Absence of hydrocephalus despite disproportionately increasing head size after the neonatal period in preterm infants with known intraventricular hemorrhage.已知存在脑室内出血的早产儿在新生儿期后头部大小不成比例增加,但未出现脑积水。
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