早产儿脑室内出血——两年经验总结

Intraventricular hemorrhage in preterm neonates--a two year experience.

作者信息

Chen C H, Wang T M, Wu K H, Chi C S

机构信息

Department of Pediatrics, Taichung Veterans General Hospital, Taiwan, R.O.C.

出版信息

Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1993 Sep-Oct;34(5):343-8.

PMID:8237352

Abstract

A prospective brain sonograph study was performed on 134 preterm neonates with birth weight of less than 2500 gm. Ten (7.5%) infants had intraventricular hemorrhage (IVH). The incidence of IVH in preterm neonates weighing less than 1500 gm was 13% and in neonates of less than 32 weeks gestation was 11.27%. Ninety percent of the IVH occurred within the first 72 hours of life. Prematurity, and hypoxia were considered as significant contributing factors for neonatal IVH. Six of the 7 infants with IVH grade I have a favorable neurological outcome. One of the 3 infants with IVH grade III has psychomotor delay. Routine brain sonograph study is considered practical and invaluable for diagnosis of IVH in preterm neonates.

摘要

对134例出生体重低于2500克的早产新生儿进行了前瞻性脑超声检查研究。10例（7.5%）婴儿发生脑室内出血（IVH）。体重低于1500克的早产新生儿IVH发生率为13%，孕周小于32周的新生儿IVH发生率为11.27%。90%的IVH发生在出生后72小时内。早产和缺氧被认为是新生儿IVH的重要促成因素。7例I级IVH婴儿中有6例神经功能预后良好。3例III级IVH婴儿中有1例存在精神运动发育迟缓。常规脑超声检查研究被认为对早产新生儿IVH的诊断具有实用性和重要价值。