早产儿室内出血的临床分析及防治

目的:探讨早产儿脑室内出血(IVH)发病相关因素及防治。方法:回顾分析2005年1月~2007年11月我院新生儿病房早产儿资料,生后3~7d内头颅"B"超检查情况。结果:225例早产儿脑室内出血76例,发生率达33.8%,与出生胎龄、出生体重、Apgar评分呈相关性,与产科并发症有密切相关。多数早产儿IVH程度较轻,无明显临床症状。结论:IVH与胎龄、出生体重、Apgar评分、产科并发症密切相关。综合防治可减少IVH发生率,提高早产儿尤其是极低体重儿的抢救成功率。

Clinical analysis and prevention of intraventricular hemorrhage of premature infants

Objective:To study the relevant factors and the way of prevention and treatment of intraventricular hemorrhage of premature infants(IVH).Methods: 225 premature data were analysized retrospectively,and the results of the head ultrasonography of the infants born 3~7days after birth were reviewed.Results:Among them,76 cases were dignosed with IVH, accounting for 33.8% of the total,which was negatively related to the infants' gestational age,birth weight and Apgar.Most of the infants showed mild clinical symptoms of IVH.Conclusion:IVH has close relation with gestational age, the weight of newborn and obstetric complication.