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新生儿颅内出血是新生儿科常见的危重病之一,且容易误诊或漏诊,我院在1993年至1994年共收治新生儿颅内出血32例,现将临床情况进行分析并略加讨论。1 临床资料1.1 一般资料:32例中,男婴23例,女婴9例;足月儿26例,早产儿1例,过期产儿5例。24例有窒息史,其中1例有宫内窘迫。异常分娩20例,其中剖腹产2例,吸引产14例,急产1例,臀位产2例,钳产1例。1.2 临床表现:以烦躁哭闹、尖叫、拒乳等为主,体查有反应差,呼吸不规则,发绀,嗜睡或凝视,惊厥,前囟饱满或张力高,拥抱反射减弱或消失等。
Neonatal intracranial hemorrhage is one of the common critical diseases in neonatology, and easily misdiagnosed or missed diagnosis, our hospital in 1993 to 1994 were treated 32 cases of neonatal intracranial hemorrhage, the clinical situation is now analyzed and discussed briefly. 1 Clinical data 1.1 General information: 32 cases, 23 cases of male baby, 9 cases of baby girls; full-term children in 26 cases, 1 case of premature children, 5 cases of obese children. 24 cases had a history of asphyxia, including 1 case of intrauterine distress. Abnormal delivery in 20 cases, of which 2 cases of caesarean section, abortion in 14 cases, 1 case of emergency, 2 cases of breech, clamp in 1 case. 1.2 Clinical manifestations: irritability, crying, screaming, refusing milk and other mainly physical examination with poor response, irregular breathing, cyanosis, drowsiness or staring, convulsions, full bilirubin or tension, hug reflex diminished or disappeared.