Delayed-Onset Intraventricular Hemorrhage in a Full-Term Neonate: Report of One Case

足月兒延遲性腦室內出血：一病例報告

李旺祚(Wang-Tso Lee) ； 周怡宏(Yi-Hong Chou) ； 鄒國英(Kuo-Inn Tsou Yau)

《Acta Paediatrica Sinica》 34卷4期 (1993/08) Pp. 294-300

摘要

腦室內出血在早產兒是一常見而嚴重的併發症；但在足月兒則比較罕見。我們報告－以發燒為表徵的足月兒腦室內出血。本病例為－15天大的女嬰，出生體重2896克，產前檢查及出生產程一切正常。病人於15天大時因高燒住院，理學檢查發現有輕微臍炎，實驗室檢查顯示，病人有輕微黃疸，血比容有輕度下降，其他凝血功能則正常。腦脊髓液檢查帶血，但所有細菌培養則僅臍部長出葡萄球菌。腦部超音波及電腦斷層檢查發現第二度兩側性腦室內出血，同時疑似右側尾核視丘交界處出血。七個月大時，超音波檢查發現，病人腦室已完全正常，神經及發育上也完全正常。由這個病例我們得到一個教訓：由於足月兒腦室內出血的臨床表現和敗血症相似，當我們懷疑新生兒有敗血症而脊椎穿刺檢查得到帶血的腦脊髓液時，腦部超音波的檢查是有需要的。而對於這類病兒的預後雖不差，但仍需長期追蹤。

並列摘要

Intraventricular hemorrhage (IVH) in the full-term neonates is not as common as in the premature neonates. We describes a full-term neonate who presented with delayed onset of intraventricular hemorrhage and fever. Her perinatal and delivery course were uncomplicated. Clinically, omphalitis was found on admission. However, no definite etiology of IVH was discovered. Follow-up brain sonography at the age of seven months revealed complete resolution of IVH. The prognosis of the patient was good on follow-up, which was comparable with other reports.

並列關鍵字

intraventricular hemorrhage ； full-term neonate