B超对早产儿脑室周围-脑室内出血的诊断.docVIP

B超对早产儿脑室周围-脑室内出血的诊断 【关键词】 ,,脑室内出血；早产儿；头颅B超 B超对早产儿脑室周围-脑室内出血的诊断 (pdf) ［摘要］ 目的 探讨早产儿脑室内出血（IVH）的发生率及其影响因素。方法 对2004年6月～2005年6月我院新生儿科收住的早产儿143例，于生后3～7天应用B超诊断仪进行床边头颅B超检查。结果 143例早产儿平均胎龄（33.5±2.03）周，平均体重（2128±524）g，早产儿脑室内出血的发生率为34.97%，重度IVH发病率为4.9%，早产儿胎龄越小、出生体重越低，发病率愈高，其出血程度也渐重。围生期窒息、疾病因素及机械通气等与早产儿脑室内出血密切相关。结论 早产儿脑室内出血发生率高，有严重合并症者发生率增高，且大多无症状，常规进行床边头颅B超检测，可早发现、早治疗，进行早期干预。 ［关键词］ 脑室内出血；早产儿；头颅B超 Ultrasound diagnosis of intraventricular hemorrhage in premature infants WU Mingfu,SUN Hongguang,FU Mingfeng,et al.Department of Pediatrics,Yangzhou Hospital Affiliated to Southeast University Medical College,Yangzhou 225001,China ［Abstract］ Objective To explore the incidence of intraventricular hemorrhage（IVH）and risk factors for IVH in premature infants.Methods The bedside cranial ultrasound were undertaken on 143 premature infants at 3～7 days after birth during Jun.2004 to Jun.2005.Results The average gestational age of 143 premature infants was（33.5±2.03）weeks and average weight was（2128±524）gram.The overall incidence of IVH was 34.97% and the proportion of severe IVH was 4.9%.The inverse correlation between IVH and gestational age and birth weight was demonstrated.The lower the gestational age was,the higher the incidence of IVH would be,and the hemorrhage tended towards serious.IVH often occurred in premature infants with perinatal asphyxia,diseases and mechanical ventilation,etc.Conclusion It is suggested that a routine examination of cranial ultrasound be necessary for each premature infant at 3～7days after birth because there is a higher incidence of IVH in premature infants and many of them were no obvious symptom in clinic.The premature infants with IVH will be diagnosed and treated early. ［Key words］ intraventricular hemorrhage;premature infants;cranial ultrasound 早产儿脑室周围-脑室内出血（PIVH）是早产儿临床常见疾病，也是早产儿死亡和致残的主要原因。因临床症状常不明显，头颅超声检查尤其显得十分重要。现就我院新生儿科2004年6月～2005年6月收住的早产儿于生后3～7天进行床边头颅超声检查并记录相关围产期因素，分析报告如下。 1 资料与方法 1.1 一般资料 本组患儿共143例，男97例，女46例；胎龄28～30周13例，～32周28例,～35周67例,～37