新生儿颅内出血56例临床分析与护理

Clinical analysis and nursing of intracranial hemorrhage of newborn in 56 cases

目的探讨新生儿颅内出血的临床情况与护理方法。方法收治的56例新生儿颅内出血临床及护理资料进行回顾性分析。结果56例患儿中新生儿缺氧缺血性脑病(HIE)及颅内出血(ICH)36例,迟发性VitK缺乏症15例,外伤2例,血小板减少症1例,原因不明2例。其中5例放弃治疗,死亡8例(病死率14.3%)。结论颅内出血预后较差,早期治疗及细致的护理十分重要。

Objective To analyze the clinical characteristics and nursing of intracranial hemorrhage of Newborn. Methods The data of children with intracranial hemorrhage from January,2004 to December, 2006 were reviewed for causes. Results 56 cases of intracranial hemorrhage were admitted. The leading causes of intracranial hemorrhage were neonates with hypoxic ischemi6 encephalopathy （ H IE ） and intracranial hemorrage （ICH） （36 cases） , delayed Vit k deficiency （ 15 cases ） , cerebral trauma （ 2 cases） , thrombocytopenia （ 1 case） , and 2 cases were unknown. Treatment had to be stopped for 5 cases, 8patients died （ 14.3 % ）. Conclusion The mortality and morbidity of intracranial hemorrhage are high and early intervention and nursing may improve the prognosis.