CAJ | 학술논문

目的：分析颅内出血在新生儿中的发病特点、风险因素，总结经验并探讨其防治策略。方法收集并分析2010年4月至2012年4月广西贵港市人民医院儿科收治的43例颅内出血新生儿患者的临床资料。结果新生儿颅内出血与患儿早产、多胎妊娠、胎盘前置、出生低体重有关（χ2值分别是31．352、98．228、4．408、56．138，均P＜0．05），与孕妇孕期患糖尿病、妊娠高血压疾病、脐带绕颈等也有关（χ2值分别是7．861、12．596、4．131，均P＜0．05）。结论新生儿颅内出血的主要风险因素为窒息引起的缺血缺氧，影像学检查是确诊该疾病的主要方法，早期发现是防治的关键。
목적：분석로내출혈재신생인중적발병특점、풍험인소，총결경험병탐토기방치책략。방법수집병분석2010년4월지2012년4월엄서귀항시인민의원인과수치적43례로내출혈신생인환자적림상자료。결과신생인로내출혈여환인조산、다태임신、태반전치、출생저체중유관（χ2치분별시31．352、98．228、4．408、56．138，균P＜0．05），여잉부잉기환당뇨병、임신고혈압질병、제대요경등야유관（χ2치분별시7．861、12．596、4．131，균P＜0．05）。결론신생인로내출혈적주요풍험인소위질식인기적결혈결양，영상학검사시학진해질병적주요방법，조기발현시방치적관건。
Objective To analyze the clinical characteristics and risk factors of neonatal intracranial hemorrhage ( NICH), summarize experience and explore prevention strategies .Methods The clinical data of 43 cases with NICH admitted in People ’ s Hospital of Guigang from April 2010 to April 2012 were collected and analyzed retrospectively .Results NICH was associated with premature labor , multiple pregnancy, placenta previa, and low birth weight (χ2 value was 31.352, 98.228, 4.408 and 56.138, respectively, all P<0.05), and also correlated with gestational diabetes mellitus , pregnancy induced hypertension syndrome and cord around neck (χ2 value was 7.861, 12.596 and 4.131, respectively, all P<0.05).Conclusion Ischemia and hypoxia induced by various factors are the main risk factors of NICH, and imaging examination is the main method for its diagnosis .Early detection is the key for its prevention and control .