摘要
1987年4月～1991年5月对268例高危新生儿常规做颅脑超声检查。阳性发现87例（32％）；其中脑室管膜下─脑室内出血66例（76％）。仅一例同时有产伤因素。早产儿与足月儿出血分别为67％及22％。早产儿多表现为脑室管膜下出血，足月儿则以脉络丛出血为多。临床分度与超声结果符合。胎儿期发生了出血者临床表现可呈轻度而超声分级可达Ⅳ级。认为凡有围产期缺血缺氧者无论早产儿或足月儿均应常规做颅脑超声检查，尤其对临床无症状者更不可忽视。
From April 1987 to May 1991 cranial ultrasonography was done routinely in 268 cases of high risk neonates. There were abnormal ultrasonic findings in 87 cases. Among them 66 cases were found to have subependymal-intraventricular hemorrhage and only one case caused by obstetrical trauma. The incidence in preterm and term neonates were 67% and 22% respectively. There were more subependymal hemorrgages in preterm neonates whereas more intrachoroidal hemorrhages in term neonates. The comparison between the clinical classificateon and ultrasonography revealed correspondance. In some cases of fetal subepen-dymal-intraventricular hemorrhage in utero with mild clinical symptoms but the cranial ultrasonography revealed Ⅳ degree of hemorrhage. It is suggested that cranial ultrasonography should be done routinely for both preterm and term high risk neonates and in those without clinical symptom whick especially must not be neglected.
出处
《中国新生儿科杂志》
CAS
1994年第6期249-251,286-287,共5页
Chinese Journal of Neonatology
