INCIDENCE AND EVOLUTION OF SUBEPENDYMAL AND INTRA-VENTRICULAR HEMORRHAGE - STUDY OF INFANTS WITH BIRTH WEIGHTS LESS THAN 1,500 GM

INCIDENCE AND EVOLUTION OF SUBEPENDYMAL AND INTRA-VENTRICULAR HEMORRHAGE - STUDY OF INFANTS WITH BIRTH WEIGHTS LESS THAN 1,500 GM
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DOI:
10.1016/s0022-3476(78)80282-0
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发表时间:
1978-01-01
影响因子:
5.1
通讯作者:
KOFFLER, H
KOFFLER, H
中科院分区:
医学2区
文献类型:
--
作者:
PAPILE, LA;BURSTEIN, J;KOFFLER, H

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对46名出生体重小于1500克的连续活产婴儿进行了计算机断层扫描[CT]。20例有脑室内出血[IVH]的证据。29名存活的婴儿中有9名患有IVH。四个等级的IVH被确定。I级和II级病变自行消退,但6个月时婴儿的CT显示半球间组织突出。III级和IV级病变的婴儿发生脑积水。7例存活的IVH婴儿没有出血的临床证据。有和没有IVH的婴儿在出生体重、胎龄、1和5分钟Apgar评分或出生时复苏或随后呼吸辅助的需要方面没有显著差异。
Brain scanning by computed tomography [CT] was performed on 46 consecutive live-born infants whose birth weights were less than 1500 gm. Twenty had evidence of cerebral intraventricular hemorrhage [IVH]. Nine of the 29 infants who survived had IVH. Four grades of IVH were identified. Grade I and II lesions resolved spontaneously, but there was prominence of the interhemispheric tissue on CT of the infants at 6 mo. Hydrocephalus developed in infants with Grade III and IV lesions. Seven of the surviving infants with IVH did not have clinical evidence of hemorrhage. There were no significant differences between the infants with and without IVH in birth weight, gestational age, 1 and 5 min Apgar scores or the need for resuscitation at birth or for subsequent respiratory assistance.