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本文对海拔2,260公尺以上地区的围产期新生儿309例进行了眼底检查,其中男171例,女138例,发现视网膜出血者101例,占32.68%,出血部位多于视乳头周围,呈点片状,线状及火焰状,其中Ⅲ度以上出血占70.33。同时对出血的原因与高原环境、分娩方式、产程、母亲的年龄,血压和新生儿的体重、性别等关系进行了分析,认为高原缺氧、视网膜循坏改变以及头位阴道产的头部受压有关,也对部分出血的新生儿进行了随访,发现Ⅲ度出血者吸收较慢,是否影响新生儿的视力及黄斑发育以及治疗等问题进行了讨论。
In this paper, 309 cases of perinatal newborns at 2,260 meters above sea level were examined by fundus examination, including 171 males and 138 females. There were 101 cases of retinal hemorrhage, accounting for 32.68%, with more bleeding sites than those around the optic nerve Point flake, linear and flame-like, of which more than Ⅲ degree of bleeding accounted for 70.33. At the same time, the causes of hemorrhage were analyzed in relation to plateau environment, mode of delivery, labor process, mother’s age, blood pressure and weight and sex of neonates. Hyperthyroidism at the altitude, retinal circulation changes, Pressure, but also on the part of the bleeding of newborns were followed up and found Ⅲ degree bleeding more slowly, whether it affects the vision and macular degeneration of newborns and treatment and other issues were discussed.