早产儿颅内出血96例临床特点

目的:探讨早产儿颅内出血临床特点。方法:对96例早产儿颅内出血临床资料进行分析。结果:治愈86例(89.6%)、自动出院5例(5.2%)、死亡5例(5.2%),76例出院后复查,62例发育良好,智力正常,9例合并神经系统后遗症,5例癫痫。结论:胎龄越小、体质量越低,早产儿颅内出血发生率越高,早产儿颅内出血有半数以上为无症状和体征,极易使颅内出血被误诊或漏诊,当出现症状明显时往往出血程度已较重,临床医师应给予足够重视。

Clinical characteristics of 96 intracranial hemorrhage cases of premature infant

Objective： To investigate the clinical characteristics of intracranial hemorrhage in premature infant. Methods.. Clinical characteristics of 96 premature infants with intracranial hemorrhage were analyzed. Results： Of the 96 cases, 86 （89. 6%） were cured, 5 caes（5. 2%）gave up treatment, and 5 （5.2%）died. 62 out of the 76 cases that were rechecked were well developed with normal intelligence, 9 cases got nerve system sequelae, and 5 cases got epilepsy. Conclusion： Higher incidence of intracranial hemorrhage was presented in premature infant with smaller gestational age and lower body weight. Since more than half intracranial hemorrhage in premature infants are free of symptoms and physical signs, they are easily misdiagnosed or ignored, obvious symptoms always indicated severe hemorrhage in the brain and should be carefully dealt with.