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[早产儿中枢神经系统的产伤、发病率及结构]

[Birth trauma to the central nervous system in premature infants, its incidence and structure].

作者信息

Belyĭ N I

出版信息

Vestn Khir Im I I Grek. 1995;154(1):83-5.

PMID:7793002
Abstract

The analysis of 1097 newborns case reports is carried out, the high frequency (86.4%) of congenital CNS disorders and high diagnostic possibilities of lumbar puncture are showed as well as REG and roentgenography of the vertebral column cervical portion in CNS birth injury diagnostics, which has been revealed in 71.9% of patients (60.8%--trauma of the cervical portion of the vertebral column with haematoma in CNS and 4.8%--haematoma in CNS). Decreasing of vertebral column birth injury frequency and increasing of haematoma cases frequency with enhancing of immature newborns rate are revealed, which ratio in mature and immature of the I, II, III and the IV degrees is as 9.4; 10.6; 5.2; 2.1; 0.6.

摘要

对1097例新生儿病例报告进行了分析,结果显示先天性中枢神经系统疾病的高发生率(86.4%)以及腰椎穿刺在中枢神经系统产伤诊断中的高诊断可能性,同时还显示了颈椎部位的脊柱X线平片和脑电阻图(REG)在中枢神经系统产伤诊断中的应用,在71.9%的患者中发现了中枢神经系统产伤(60.8%——颈椎部位创伤伴中枢神经系统血肿,4.8%——中枢神经系统血肿)。研究发现,随着未成熟新生儿比例的增加,脊柱产伤发生率降低,血肿病例发生率增加,在成熟和未成熟的I、II、III和IV度新生儿中,其比例分别为9.4;10.6;5.2;2.1;0.6。

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