摘要
早产儿脑室内出血(IVH)是导致早产儿,特别是出生胎龄<32周早产儿死亡和严重神经系统残疾的重要合并症。近年我国早产儿救治数量大幅增加,极早产儿(出生胎龄≥28~31周)/超早产儿(出生胎龄<28周)的存活率也有很大提升,但是超早产儿的IVH发生率高达48%,而且重度IVH发生率呈逐年上升趋势,显著高于发达国家水平,值得临床高度关注。目前,国内尚无早产儿IVH预防的专家共识或指南,故中国医师协会新生儿科医师分会、北京医师协会新生儿专科医师分会组织专家,在参考国内外相关研究进展和诊疗指南基础上,制定《早产儿脑室内出血预防专家共识(2025)/Expert Consensuson Prevention of Intraventricular Hemorrhagein Preterm Infants(2025)》(以下简称为本共识),以规范早产儿IVH的预防和临床管理,从而降低早产儿IVH发生率,改善早产儿近、远期神经系统发育结局。
Intraventricular hemorrhage(IVH)in preterm infants is a significant complication leading to mortality and severe neurological disabilities,particularly in preterm infants with a gestational age<32 weeks.In recent years,the number of preterm infants receiving medical treatment in China has significantly increased,and the survival rates of very preterm infants(gestational age≥28-31 weeks)/extremely preterm infants(gestational age<28 weeks)have greatly improved.However,the incidence of IVH in extremely preterm infants remains high at 48%,with the occurrence of severe IVH showing an annual upward trend,markedly higher than that in developed countries,garnering significant attention.Currently,there is no expert consensus or guideline for the prevention of IVH in preterm infants within China.Therefore,the Neonatologist Branch of the Chinese Medical Doctor Association and the Neonatologist Branch of the Beijing Medical Doctor Association have organized experts to develop Expert Consensus on Prevention of Intraventricular Hemorrhage in Preterm Infants(2025)(hereinafter referred to as This Consensus).These initiatives in This Consensus is based on reference to relevant research progress and clinical guidelines both domestically and internationally,aiming to further standardize the prevention and clinical management of IVH in preterm infants,reduce the incidence of IVH,and improve both short-term and long-term neurological development outcomes for preterm infants.
作者
中国医师协会新生儿科医师分会
北京医师协会新生儿科医师分会
李秋平
封志纯
母得志
唐军
熊涛
唐尚鸿
Neonatal Physicians Branch of Chinese Medical Doctor Association;Neonatologist Branch of Beijing Medical Doctor Association;Li Qiuping;Feng Zhichun;Mu Dezhi;Tang Jun;Xiong Tao;Tang Shanghong(不详;Faculty of Pediatrics,Seventh Medical Center of Chinese PLA General Hospital,Beijing 100700,China;Department of Pediatrics,Key Laboratory of Birth Defects and Related Diseases of Women and Children(Sichuan University),West China Second University Hospital,Sichuan University,Chengdu 610041,Sichuan Province,China)
出处
《中华妇幼临床医学杂志(电子版)》
2025年第1期1-14,共14页
Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition)
基金
国家重点研发计划项目(2021YFC2700700、2021YFC2700702)。
关键词
脑出血
脑室内出血
临床管理
综合预防
神经系统疾病
专家共识
婴儿
超低出生体重
婴儿
早产
Cerebral hemorrhage
Intraventricular hemorrhage
Clinical governance
Universal precautions
Nervous system diseases
Expert consensus
Infant,extremely low birth weight
Infant,preterm
