42例新生儿蛛网膜下腔出血的临床分析(附42例CT扫描)

CLINICAL ANALYSIS OF 42 CASES OF NEORRATAL SUBARACHNOID HEMORRHAGE

本文报道了经头颅 CT 扫描后确诊的42例 SAH 的临床分析,早产儿16例,足月儿28例,过期产儿8例。除1例正常分娩外,其余均有异常分娩史、产伤史。34例有窒息史。回顾性总结:引起 SAH 的主要因素是产伤,其次是缺氧,但正常分娩者偶然也可发生。出血部位以大脑镰与枕镰旁多见,其次是枕间镰与大脑大静脉。少量出血者无临床体症,一般性出血多数表现为嗜睡、双目凝视、肌张力低下,反应差等抑制型,少数可出现惊厥、尖叫、激惹等兴奋型。大量出血可表现昏迷、昏睡、面色发灰、口唇发绀、呼吸衰竭等严重症状。

In this paper the clinical analysis of 42 Cases of neonatal subarac-hnoid hemorrhage(SAH)diagonosed by head CT is reported.Among the42 cases premature is 16,fullterm is 28 and posttern is 8.Except onecase,all of the other's had the history of abnormal delivery and birthiniury.There are 34 cases with asphyxia.The summary is reviewed.Themain factor leading to SAH is dilivery injury.Then hypoxia occasionally it can be seen in normal delivery.The bleeding area appeared mostly innormal delivery.The bleeding area appeared mostly in cerebri flax andoccipital flax side.Then in inter-occipital flax and cerebral great V.There is no clinical symptom small amount of bleeding.The repressiontype in moderate bleedimg lethargy biocullar staring hypotonia and poorreflex are showed.The excitant type convulsion sharp cry and dysphoriain few eases The serious symptom's inclulude coma simicoma facial palelip cyanosis and respiratory failure in large amount of bleeding.