中国小儿急救医学
中國小兒急救醫學
중국소인급구의학
CHINESE PEDIATRIC EMERGENCY MEDICINE
2008年
5期
432-435
,共1页
早产儿%脑室出血%脑室周围白质软化
早產兒%腦室齣血%腦室週圍白質軟化
조산인%뇌실출혈%뇌실주위백질연화
Preterm infant%Intraventricular haemorrhage%Periventricular leukomalacia
目的 分析早产儿脑损伤的影响因素.方法 对2006年1月至2007年10月我院收治的出生时胎龄小于36周的268例早产儿在生后7 d内行头部B超检查.并分析相关临床资料.结果 130例早产儿存在脑损伤,脑损伤的发生率为48.5%,其中脑室出血116例,发生率为43.3%,脑室周围日质软化38例,占14.2%.轻度和重度脑损伤发生率分别为23.5%、13.6%.脑损伤发生与下列因素有关:胎龄小、低出生体质量、窒息、肺透明膜病、呼吸暂停、呼吸衰竭、肺出血、低血糖、感染、低血压、凝血异常、胎膜早破以及宫内感染.结论 脑室出血以及脑室周围白质软化在早产儿中比较常见,其发生与多种因素有关.临床上应避免或治疗引起脑损伤的因素,头部B超可对早产儿脑损伤做出早期诊断.
目的 分析早產兒腦損傷的影響因素.方法 對2006年1月至2007年10月我院收治的齣生時胎齡小于36週的268例早產兒在生後7 d內行頭部B超檢查.併分析相關臨床資料.結果 130例早產兒存在腦損傷,腦損傷的髮生率為48.5%,其中腦室齣血116例,髮生率為43.3%,腦室週圍日質軟化38例,佔14.2%.輕度和重度腦損傷髮生率分彆為23.5%、13.6%.腦損傷髮生與下列因素有關:胎齡小、低齣生體質量、窒息、肺透明膜病、呼吸暫停、呼吸衰竭、肺齣血、低血糖、感染、低血壓、凝血異常、胎膜早破以及宮內感染.結論 腦室齣血以及腦室週圍白質軟化在早產兒中比較常見,其髮生與多種因素有關.臨床上應避免或治療引起腦損傷的因素,頭部B超可對早產兒腦損傷做齣早期診斷.
목적 분석조산인뇌손상적영향인소.방법 대2006년1월지2007년10월아원수치적출생시태령소우36주적268례조산인재생후7 d내행두부B초검사.병분석상관림상자료.결과 130례조산인존재뇌손상,뇌손상적발생솔위48.5%,기중뇌실출혈116례,발생솔위43.3%,뇌실주위일질연화38례,점14.2%.경도화중도뇌손상발생솔분별위23.5%、13.6%.뇌손상발생여하렬인소유관:태령소、저출생체질량、질식、폐투명막병、호흡잠정、호흡쇠갈、폐출혈、저혈당、감염、저혈압、응혈이상、태막조파이급궁내감염.결론 뇌실출혈이급뇌실주위백질연화재조산인중비교상견,기발생여다충인소유관.림상상응피면혹치료인기뇌손상적인소,두부B초가대조산인뇌손상주출조기진단.
Objective To evaluate the related risk factors in preterm infants with cerebral injury. Methods A total of 268 cases whose gestational age less than 36 weeks had cranial ultrasound scans between 0 to 7 days after birth from January 1, 2006 to October 31,2007, and their clinical data were reviewed. Results One hundred and thirty patients (48.5 %) were diagnosed cerebral injury, total incidence of intraventricular haemorrhge and periventricular leukomalacia were 43.3% (116/268) and 14.3% (38/268) respectively. The incidence of cerebral injury was correlated with low birth weight, prematurity, asphyxia, respiratory distress syndrome, apnea, respiratory failure, pulmonary haemorrhge, anemia, hypotension, hypoglycemia, infection, premature rupture of membrane, low gestaional age at birth and ventilation. Conclusion The incidence of preterm brain injury are related to many factors. Risk factors of cerebral injury should be prevented in clinical practice and cranial ultrasound scans are required for early diagnosis of preterm cerebral injury.
