Fleischer A C, Hutchison A A, Bundy A L, Machin J E, Thieme G A, Stahlman M T, James A E
AJR Am J Roentgenol. 1983 Sep;141(3):451-5. doi: 10.2214/ajr.141.3.451.
Changes in ventricular size and brain parenchyma were documented in 40 preterm neonates with intracranial hemorrhage (ICH), who were serially examined for 3 weeks or more. Sonography disclosed a close relation between the severity of the intracranial hemorrhage and the development of progressive ventricular dilatation. Eighty percent of preterm neonates with minor degrees of intracranial hemorrhage (localized subependymal hemorrhage or subependymal hemorrhage with small intraventricular hemorrhage [subependymal/intraventricular hemorrhage]) did not develop significant ventricular dilatation, whereas all of the neonates with intraventricular and/or intraparenchymal hemorrhage developed moderate or severe ventricular dilatation. Spontaneous resolution of moderate and/or severe ventricular dilatation occurred by the end of the third week in about one-third of neonates with intracranial hemorrhage. Progressive ventricular dilatation was documented in 10 of 15 neonates with major intraventricular and/or intraparenchymal hemorrhage. The therapeutic implications of the findings are discussed.
对40例颅内出血（ICH）的早产新生儿进行了为期3周或更长时间的连续检查，记录了心室大小和脑实质的变化。超声检查显示颅内出血的严重程度与进行性心室扩张的发展密切相关。轻度颅内出血（局限性室管膜下出血或伴有小的脑室内出血的室管膜下出血[室管膜下/脑室内出血]）的早产新生儿中，80%未出现明显的心室扩张，而所有脑室内和/或脑实质内出血的新生儿均出现中度或重度心室扩张。约三分之一颅内出血的新生儿在第三周结束时，中度和/或重度心室扩张会自发消退。15例脑室内和/或脑实质内大量出血的新生儿中，有10例记录到进行性心室扩张。本文讨论了这些发现的治疗意义。
