CAJ | 학술논문

目的：探讨早产儿脑室周围-脑室内出血(PVH-IVH)发生的影响因素，以及床旁颅脑超声检查对早产儿PVH-IVH 的诊断价值。方法：用床旁颅脑超声对137例早产儿进行检查，将胎龄、出生体重、Apgar 评分等因素与PVH-IVH发生率进行相关对比分析。结果：早产儿PVH-IVH的发生率62.7%。胎龄＜32周、出生体重＜1500 g的患儿PVH-IVH发生率明显增高。结论：低胎龄、低出生体重早产儿PVH-IVH发生率较高，应进行常规筛查。床旁超声应作为筛查、监测新生儿颅内出血的首选方法。
목적：탐토조산인뇌실주위-뇌실내출혈(PVH-IVH)발생적영향인소，이급상방로뇌초성검사대조산인PVH-IVH 적진단개치。방법：용상방로뇌초성대137례조산인진행검사，장태령、출생체중、Apgar 평분등인소여PVH-IVH발생솔진행상관대비분석。결과：조산인PVH-IVH적발생솔62.7%。태령＜32주、출생체중＜1500 g적환인PVH-IVH발생솔명현증고。결론：저태령、저출생체중조산인PVH-IVH발생솔교고，응진행상규사사。상방초성응작위사사、감측신생인로내출혈적수선방법。
Objective:To discuss factors and the clinical effect of bedside ultrasound in diagnosis of periventricular-intraventricu-lar hemorrhage in premature infants.Methods:137 cases of premature infants were examined by bedside ultrasound,and the corre-lation between age,birth weight,Apgar score and PVH-IVH were analyzed.Results:PVH-IVH in premature children the incidence of 62.7%.≤32 weeks gestational age,birth weight infants≤1 500 g PVH-IVH incidence was significantly higher.Conclusion:The occurrence rate of PVH-IVH was higher in low age.Low birth weight premature infants,and routine screening should be carried out.Bedside ultrasound should be used as the first choice for screening and monitoring of intracranial hemorrhage in newborns.