新生儿颅内出血临床分析

Clinical analysis of intracranial hemorrhage of newborn

目的 探讨新生儿颅内出血的临床特点及发病因素.方法 选取2013年1月至2014年12月商丘市第一人民医院收治的15例颅内出血新生儿的临床资料进行回顾,新生儿均于出生后1周内行头颅CT检查,全部患儿均给予常规治疗,对患儿颅内出血程度及治疗效果进行评价,并采用SPSS 13.00软件包对数据进行统计学分析,P<0.05表示差异有统计学意义.结果 胎龄≤32周的新生儿Ⅲ级、Ⅳ级出血程度明显高于>32~35周组和>35~38周组,差异有统计学意义(P<0.05,P<0.01),说明新生儿颅内出血的发生率与出血程度和胎龄密切相关.全部患儿中显效7例,有效3例,无效3例,有2例放弃治疗.结论 新生儿颅内出血严重威胁患儿的生命安全,提高孕期妇女围产期保健意识,及早发现和治疗是降低新生儿颅内出血发生率,提高抢救成功率的关键.

Objective To investigate the clinical features and risk factors of intracranial hemorrhage of newborn.Methods Choose between January 2013 and December 2013, shangqiu ifrst people''s hospital clinical data of 15 cases of neonatal intracranial hemorrhage in our hospital to review.All the newborns check CT examination 1 weeks after birth.All children were given routine therapy. To evaluate the degree and treatment in children with intracranial hemorrhage. Using SPSS 13.0 software to carry on the analysis, P < 0.05 for the difference was statistically signiifcant.Results Gestational age of 32 weeks or less neonatal Ⅲ,Ⅳ hemorrhage was signiifcantly higher than 32 ~35 weeks group and 35 ~ 38 weeks group, the difference was statistically signiifcant (P < 0.05,P < 0.01), the incidence of neonatal intracranial hemorrhage is closely related to the degree of bleeding and gestational age.In children with all 7 cases, ineffective in 3 cases,Invalid 3 cases and there are 2 cases give up treatment.Conclusions A serious threat to children with intracranial hemorrhage of newborn life safety, improve the consciousness of pregnant women in perinatal health care. Early detection and treatment is to reduce the incidence of neonatal intracranial hemorrhage, key to improve the success rate of the rescue.