Martin R, Roessmann U, Fanaroff A
J Pediatr. 1976 Aug;89(2):290-3. doi: 10.1016/s0022-3476(76)80470-2.
The clinical and pathologic observations of massive intracerebellar hemorrhage (destruction of at least one-third of cerebellar tissue) are described in six low-birth-weight infants. In all infants, severe progressive apnea associated with a falling hematocrit were the prominent clinical features. Four infants were asphyxiated at birth. Some degree of cerebellar hemorrhage (macroscopic or microscopic) was observed in 21% of 157 newborn brains examined at autopsy. The cause of massive intracerebellar hemorrhage is unknown, but may result from deforming pressures on the skull secondary to perinatal trauma. A close follow-up of cerebellar function in low-birth-weight infants is important.
本文描述了6例低体重儿的巨大小脑内出血（至少三分之一小脑组织破坏）的临床及病理观察结果。所有婴儿均有严重进行性呼吸暂停并伴有血细胞比容下降，这是突出的临床特征。4例婴儿出生时窒息。在157例尸检的新生儿脑标本中，21%观察到不同程度的小脑出血（肉眼或显微镜下）。巨大小脑内出血的病因不明，但可能是围产期创伤继发颅骨变形压迫所致。对低体重儿的小脑功能进行密切随访很重要。
