Neonatal periventricular - intraventricular hemorrhage in Research.doc

 PAGE \* MERGEFORMAT 10 Neonatal periventricular - intraventricular hemorrhage in Research [Keywords:] newborn Intraventricular hemorrhage (periventricular intraventricular hemorrhages, PIVH) is the most common type of intracranial hemorrhage, especially in the incidence of preterm children up to 55% or more [1], leading to premature death and disability in children of the important reasons. Because of the limitations of bleeding often small lesions, not easily diagnosed, 80 years ago, when the disease was found only in the autopsy, recently recognized for clinical gradually. With the obstetric and neonatal intensive care level, the survival rate of preterm children increased incidence of preterm children PIVH rate as an increasing tendency [2]. is nearly years of research profiles PIVH reviewed. 1 pathological changes, and risk factors of clinical classification 1.1 The main pathological changes PIVH ventricle anterior horn originated in the caudate nucleus on the head of the germinal layer of matrix. Germinal matrix tissue fragile, very sensitive to hypoxia. When risk factors are caused by intracranial pressure and cerebral hemodynamic fluctuations, easy to break caused by bleeding, large amount of germinal layer hemorrhage in the blood can enter the ventricle, then ventricular dilatation, and even spread to adjacent brain parenchyma ventricle. a small amount of PIVH general no obvious clinical symptoms and signs, and no impact on prognosis. serious bleeding to produce nervous system damage and long-term consequences is the core of the resulting brain parenchymal damage. PIVH can be due to a serious chamber foramen, in the cerebral aqueduct, fourth ventricle of the middle hole, the narrow side holes and other anatomical blockage, or AGs adhesion of cerebrospinal fluid absorption, so that blockage of cerebrospinal fluid circulation, resulting in hydrocephalus. extreme expansion of the ventricles of the brain to develop normally, which leads to seve