A LONGITUDINAL-STUDY OF POST-HAEMORRHAGIC VENTRICULAR DILATATION IN THE NEWBORN
A LONGITUDINAL-STUDY OF POST-HAEMORRHAGIC VENTRICULAR DILATATION IN THE NEWBORN
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DOI：
10.1136/adc.56.12.905
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发表时间：
1981-01-01
影响因子：
5.2
通讯作者：
STARTE, DR
中科院分区：
文献类型：
--
作者：
LEVENE, MI;STARTE, DR
连续入院（202）的区域新生儿单位进行了实时超声扫描。68名（34%）婴儿有颅内出血，其中39名（57%）婴儿在至少30天大之前反复扫描。15名婴儿表现出一定程度的心室扩张。4例出现一过性扩张，未接受任何形式的治疗即完全恢复（第1组），7例出现持续性但非进展性扩张，未接受任何治疗（第2组），3例出现快速进展性脑积水（第3组），1例出现脑萎缩（第4组）。从出生开始连续跟踪枕额头围，在第1组和第2组中没有异常，但在第3组和第4组中观察到头部生长率异常。显然，颅内出血后，只有一小部分婴儿发展为明显的脑积水，但一定程度的脑室扩张是常见的，可能不需要治疗。
Consecutive admissions (202) to a regional neonatal unit were scanned by real-time ultrasound. Sixty-eight (34%) infants had intracranial hemorrhage, 39 (57%) of whom were scanned repeatedly until they were at least 30 days old. Fifteen infants showed some degree of ventricular dilatation. Four had transient dilatation with complete recovery without any form of treatment (group 1), 7 showed persistent but nonprogressive dilatation with no treatment (group 2), 3 had rapidly progressive hydrocephalus (group 3) and 1 had cerebral atrophy (group 4). Occipitofrontal head circumference was followed sequentially from birth and was not abnormal in groups 1 and 2, but abnormal rates of head growth were seen in groups 3 and 4. Apparently, after intracranial hemorrhage, only a small proportion of infants develop frank hydrocephalus, but ventricular dilatation of some degree is common and may require no treatment.