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新生儿尸检121例,诊断颅内出血57例。其中缺氧性颅内出血25例,占43.86％。损伤性颅内出血32例,占56.14％。早产儿及低体重儿占颅内出血的59.65％。因分娩损伤引起的颅内出血中,顺产及剖宫产占43.75％;臀位产、产钳、胎吸占56.25％。此外,母体并发症、胎盘及脐带血液循环障碍,新生儿呼吸功能障碍等,均可导致颅内出血。病理检查提示,缺氧性颅内出血,病变主要在蛛网膜下腔、软脑膜、脑实质及侧脑室。损伤性颅内出血主要为小脑蒂及大脑镰撕裂伤。
Neonatal autopsy in 121 cases, 57 cases of intracranial hemorrhage diagnosis. One hypoxic intracranial hemorrhage in 25 cases, accounting for 43.86%. 32 cases of intracranial hemorrhage, accounting for 56.14%. Premature children and low birth weight accounted for 59.65% of intracranial hemorrhage. In intracranial hemorrhage caused by labor injury, cesarean section and cesarean section accounted for 43.75%; breech production, forceps, fetal suction accounted for 56.25%. In addition, maternal complications, placental and cord blood circulation disorders, neonatal respiratory dysfunction, etc., can lead to intracranial hemorrhage. Pathological examination prompted hypoxemic intracranial hemorrhage, lesions mainly in the subarachnoid space, pia mater, brain parenchyma and lateral ventricle. Traumatic intracranial hemorrhage mainly for cerebellar peduncle and falx laceration.