床旁颅脑超声在早产儿脑室周围-脑室内出血诊断中的应用

Application of bedside ultrasound in diagnosis of periventricular-intraventricular hemorrhage in premature infants

目的:探讨早产儿脑室周围-脑室内出血(PVH-IVH)发生的影响因素,以及床旁颅脑超声检查对早产儿PVH-IVH的诊断价值。方法:用床旁颅脑超声对137例早产儿进行检查,将胎龄、出生体重、Apgar评分等因素与PVH-IVH发生率进行相关对比分析。结果:早产儿PVH-IVH的发生率62.7%。胎龄<32周、出生体重<1 500 g的患儿PVH-IVH发生率明显增高。结论:低胎龄、低出生体重早产儿PVH-IVH发生率较高,应进行常规筛查。床旁超声应作为筛查、监测新生儿颅内出血的首选方法。

Objective:To discuss factors and the clinical effect of bedside ultrasound in diagnosis of periventricular-intraventricu-lar hemorrhage in premature infants.Methods:137 cases of premature infants were examined by bedside ultrasound,and the corre-lation between age,birth weight,Apgar score and PVH-IVH were analyzed.Results:PVH-IVH in premature children the incidence of 62.7%.≤32 weeks gestational age,birth weight infants≤1 500 g PVH-IVH incidence was significantly higher.Conclusion:The occurrence rate of PVH-IVH was higher in low age.Low birth weight premature infants,and routine screening should be carried out.Bedside ultrasound should be used as the first choice for screening and monitoring of intracranial hemorrhage in newborns.