摘要
目的分析新生儿颅内出血的原因,总结临床治疗经验。方法 分析2009年3月至2010年3月我院儿科收治46例新生儿颅内出血患儿的临床资料。结果 46例患儿经CT检查,31例蛛网膜下腔出血,11例脑实质出血,4例硬膜下血肿。经治疗,治愈38例,自动出院6例,死亡2例。36例患儿出院后随时复查,30例发育良好,智力正常,无近期后遗症。6例合并神经系统后遗症,其中脑瘫4例,癫痫2例。结论 新生儿窒息是新生儿颅内出血的主要病因,其次为产伤。新生儿颅内出血的诊断主要依靠病史,CT诊断是最重要的手段。
Objective To analyze the causes of neonatal intracranial hemorrhage and to summarize the clinical treatment experience.Methods The clinical data of forty-six cases of neonatal intracranial hemorrhage,who were admitted in our hospital from March 2009 to March 2010 were analyzed retrospectively.Results CT examination conformed subarachnoid hemorrhage in 31 cases,parenchymal hemorrhage in 11 cases,and subdural hematoma in 4 cases.After treatment,38 cases were cured,6 cases discharged and 2 cases died.Among 36 cases that obtained follow-up postoperation,30 cases were well developed,with normal intelligence and without recent sequela.Six cases were accompanied with neurological sequelae,including cerebral palsy in 4 cases and epilepsy in 2 cases.Conclusions Neonatal asphyxia is the main cause of neonatal intracerebral haemorrhage,secondly the birth trauma.Neonatal intracerebral hemorrhage diagnosis mainly relies on the history,CT is the most important means of diagnosis.
出处
《中华脑血管病杂志（电子版）》
2011年第1期25-26,共2页
Chinese Journal of Cerebrovascular Diseases(Electronic Edition)
关键词
新生儿
颅内出血
围产期
诊断
Neonate
Intracranial hemorrhage
Peripartum
Diagnosis
