- 期刊
Intraventricular Hemorrhage in Preterm Neonates-A Two Year Experience
低體重早産兒之腦室出血－雨年之經驗報告
摘要
我們自民國七十九年二月起，對本院新生兒病房的早産兒（懷孕週數低於37週，體重小於2500公克）進行前瞻性顱部超音波檢查。於嬰兒出生第一天至第四天，及第七天做常規的超音波檢查。如有異常者，每週至少做一次追蹤檢查。所有的嬰兒於出院前皆再接受一次追蹤檢查。在23個月中，一共有134位早産兒接受檢查。其中10例(7.5%)有腦室出血。 體重小於1500公克者13%有腦室出血。懷孕週數低於32週者，11.3%有腦室出血。90%的及室出血發生於出生後72小時之內。低懷孕週數及低血氧與腦室出血之發生有明顯關係。在門診追蹤發現，七個第一級腦室出血之早産兒中有六位之精神運動發育皆正常。三位第三級腦室出血之早産兒中有一位之精神運動發育明顯遲緩。常規之顱部超音波檢查對早産兒之評估及預後而言，是一項實用且重要之檢查。
關鍵字
無資料並列摘要
A prospective brain sonograph study was performed on 134 preterm neonates with birth weight of less than 2500 gm. Ten (7.5%) infants had intraventricular hemorrhage (IVH). The incidence of IVH in preterm neonates weighing less than 1500 gm was 13% and in neonates of less than 32 weeks gestation was 11.27%. Ninety percent of the IVH occurred within the first 72 hours of life. Prematurity, and hypoxia were considered as significant contributing factors for neonatal IVH. Six of the 7 infants with IVH grade Ⅰ have a favorable neurological outcome. One of the 3 infants with IVH grade Ⅲ has psychomotor delay. Routine brain sonograph study is considered practical and invaluable for diagnosis of IVH in preterm neonates.
延伸閱讀
- 洪禎雯、游敏媛、張學文、洪芳芝、梁秋萍、黃崇濱、黃美涓（1998）。極低出生體重早產兒造成腦性麻痺的危險因子之探討。中華民國復健醫學會雜誌，26(4)，181-187。https://www.airitilibrary.com/Article/Detail?DocID=10253009-199812-26-4-181-187-a
- Yu, H. M., Hsu, C. H., Chiu, N. C., Kao, H. A., Hung, H. Y., & Chang, J. H. (2004). 極低體重早産兒的出血後腦室擴張：自然病程及追蹤. Clinical Neonatology, 11(2), 57-61. https://doi.org/10.7098/CN.200412.0057
- Shen, E. Y., & Huang, F. Y. (1988). 早産兒的晚發性及覆發性週腦室出血. Acta Paediatrica Sinica, 29(2), 83-89. https://www.airitilibrary.com/Article/Detail?DocID=00016578-198804-29-2-83-89-a
- Lin, T. W., Su, B. H., Lin, H. C., Hu, P. S., Peng, C. T., Tsai, C. H., & Liang, W. M. (2000). 極低出生體重早産兒肺出血之危險因子的探討：兩年回溯性之研究. Acta Paediatrica Taiwanica, 41(5), 255-258. https://doi.org/10.7097/APT.200010.0255
- 羅麗君（2009）。極低出生體重早產兒的發展與神經預後之探討〔碩士論文，亞洲大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0118-1511201215465782