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目的分析不典型新生儿颅内出血的临床性质,提高对不典型颅内出血的认识。方法回顾性研究2000-2004年128例头颅CT确诊新生儿颅内出血病例,选取不典型病例进行临床分析。结果不典型颅内出血43例,占新生儿颅内出血33．59％,43例不典型病例中,有窒息史 35例,早产38例,合并缺氧缺血性脑病(HIE)9例,嗜睡并肌张力低下12例,嗜睡并肌张力增高9 例,单纯肌张力降低者8例,单纯肌张力增高者7例,单纯痛苦面容并肌张力增高4例,单纯嗜睡者 2例,无症状体征1例。结论不典型新生儿颅内出血往往临床表现较少,而且表现似乎是轻症, 易漏诊,应引起临床医师重视。
Objective To analyze the clinical features of atypical neonatal intracranial hemorrhage and to improve the understanding of atypical intracranial hemorrhage. Methods Retrospective study of 128 cases of brain CT diagnosis of neonatal intracranial hemorrhage from 2000 to 2004, atypical cases were selected for clinical analysis. Results of 43 cases of atypical intracranial hemorrhage, accounting for 33.59% of neonatal intracranial hemorrhage, 43 cases of atypical cases, 35 cases of asphyxia, 38 cases of premature birth, hypoxic-ischemic encephalopathy (HIE) in 9 cases, drowsiness and Muscle tension decreased in 12 cases, drowsiness and increased muscle tension in 9 cases, simple hypotonia in 8 cases, simple hypermyotonia in 7 cases, simple pain face and increased muscle tone in 4 cases, simple sleepiness in 2 cases, asymptomatic symptoms 1 example. Conclusion Atypical neonatal intracranial hemorrhage often less clinical manifestations, and the performance seems to be mild, easily missed diagnosis, should arouse clinicians attention.