摘要
目的 为了总结新生儿蛛网膜下腔出血(SAH)的病因与临床特点.方法 通过头颅CT平扫后确诊的213例SAH结合临床进行回顾性分析.结果213例中兴奋型65例,抑制型43例,跳跃式综合征29例,无症状者76例.其病因缺氧占38.03%,产伤占28、17%,早产13.14%,正常产占20.66%.结论新生儿蛛网膜下腔出血的主要表现为兴奋型与抑制型,但也有约 1/3的病例无症状.缺氧与产伤为其主要病因.放宽剖宫产的适应症,提高基层助产人员接生技术,是降低本病发病率的关键.
ve To sum up the causes and clinical characteristics of newborn subarachnoid hemorrhage (SAH). Methods 213 newborn cases with subarachnoid hemorrhage proved were analyzed by CT retrospectively. Results In 213 cases, 65 cases were excitatory syndrome,43 cases suppressant type, 29 cases saltatory syndrome and other 76 asyptomatic cases. The main causes were asphyxia (28. 08% ), birth injury (28. 17% ), premature(13. 14% ), and of normal childbirth (20. 66 %). Conclusion The main manifestations of newborn SAH are suppressant type and excitatory syndrome. However there were about 1/3 of cases with asyptomatic. The main causes were anoxia and birth injury. In order to decrease incidence of newborn SAH, it were the keys to soften the indication for cesarean section and to improve midwifery skill in basic hospital.
关键词
新生儿
CT
蛛网膜下腔出血
临床
病因
Newborn CT Subarachnoid hemorrhage(SAH) Birth injury Anoxia
