新生儿颅内出血及缺氧缺血性脑病临床表现与预后关系的探讨

THE RELATIONSHIP BETWEEN PROGNOSIS AND CLINICAL MENIFESTATIONS OF NEWBORN INTRA-CEREBRAL HEMORRHAGE AND HYPOXlA-ISCHEMIC ENCEPHALOPATHY

本文分析了62例新生儿颅内出血及缺氧缺血性脑病的临床资料和追踪观察结果。62例中41例康复,7例有不同程度的神经系统后遗症,14例死亡。观察到主要临床表现与预后关系密切。出现昏迷或半昏迷、中枢性呼吸衰竭、原始反射消失和重度惊厥时预后不良,这些症状出现得越多,死亡和残废的发生率也越高。

Sixty-two cases of newborn Intra-cerebral Hemorrhage (ICH) and Hypoxic-ischemic en- cephalopathy (HIE) were reported. All cases were followed up 10 months to 2 years old or more. 41 cases recoveried. There were different degree of neural sequelae in 7 cases. 14 cas- es died. It waw showed that some clinical menifestations related closely to the prognosis of ICH and HIE. These are (1) coma; (2) central respiratory failure; (3) serious seizure and (4) all the original reflexes disappeared. It was found that the more the clinical criteria the baby with, the more the rate of death and handicap.