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本文报道了经头颅 CT 扫描后确诊的42例 SAH 的临床分析,早产儿16例,足月儿28例,过期产儿8例。除1例正常分娩外,其余均有异常分娩史、产伤史。34例有窒息史。回顾性总结:引起 SAH 的主要因素是产伤,其次是缺氧,但正常分娩者偶然也可发生。出血部位以大脑镰与枕镰旁多见,其次是枕间镰与大脑大静脉。少量出血者无临床体症,一般性出血多数表现为嗜睡、双目凝视、肌张力低下,反应差等抑制型,少数可出现惊厥、尖叫、激惹等兴奋型。大量出血可表现昏迷、昏睡、面色发灰、口唇发绀、呼吸衰竭等严重症状。
This article reports the clinical analysis of 42 cases of SAH diagnosed by skull CT scan. There are 16 premature children, 28 full-term children and 8 expired children. In addition to 1 case of normal delivery, the rest have abnormal delivery history, history of birth injury. 34 cases had a history of asphyxia. Retrospective summary: The main factor causing SAH is birth trauma, followed by hypoxia, but the normal childbirth may happen by chance. Bleeding site with falx and occipital falx more common, followed by the pillow sickle and cerebral vein. A small amount of bleeding without clinical Symptoms, the majority of the performance of general bleeding drowsiness, binocular gaze, hypotonia, poor response and other inhibitory type, a few may appear convulsions, screaming, irritation and other excitement. A large number of bleeding can show coma, lethargy, pale, lips cyanosis, respiratory failure and other serious symptoms.