摘要
目的 :为提高新生儿、婴儿颅内出血的治疗水平。方法 :收集我科资料较完整的新生儿与婴儿颅内出血患儿 12例 ,对其病因、临床和影像学表现、诊断和手术治疗、随访和综合性干预措施作了回顾性研究。结果 :12例颅内出血的原因 ,证实属维生素 K缺乏症 5例、产伤 2例、早产儿 2例、窒息 2例、脑血管畸形 (AVM) 1例。主要临床表现是 :频繁抽搐、尖叫、呕吐、昏迷。全部进行手术治疗 ,术后痊愈 11例 (91.7% ) ,合并肺部感染死亡 1例 (8.3% )。 11例随访并予综合性干预措施后经智力发育指数 (MPI)与运动发育指数 (PDI)检测 ,结果 11例均接近或达到同龄正常儿水平。结论 :尽早手术清除血肿 ,可减轻后者对脑组织的毒性刺激 ,并能改善预后 ,术后随访结合综合性干预措施 ,可减少颅内血肿对今后小儿体能和智力的影响 ;
Objective:To investigate therapeutic effect of surgical treatment and postoperative intervention on neonates and infants with intracranial hemorrhage.Methods:The complete data of 12 neonates and infants with intracranial hemorrhage were collected,including the etiology,climical features,screenage,diagnosis,operation program and postoperative intervention. Results:The causes of intracranial hemorrhage were as follows:vitamin K deficiency in 5,brain injury in 2,preterm infant in 2,asphyxia in 2,and brain arteriovenous malformation in 1.All underwent operation.Eleven cases had been cured,and one died of pneumonia.The survivals were accepted intervention measures,and their MDI and PDI approximated to those of normal children.Conclusion:Early operation could decrease cerebral injury induced by intracranial hemorrhage,resulting in the improvement of prognosis.Postoperative intervention may decrease the effect of intracranial hemorrhage on children's physical and mental development.The operative indication of intracranial hemorrhage in neonates and infants could be relaxed.
出处
《广东医学院学报》
2002年第1期7-8,共2页
Journal of Guangdong Medical College
