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目的:探讨新生儿肾上腺出血的患儿临床表现及诊断与治疗。方法:收集2009年6月~2013年7月新生儿肾上腺出血患儿资料,分析新生儿肾上腺出血的临床表现及诊断与治疗。结果:共5例新生儿肾上腺出血患儿,黄疸为主要表现,可伴有贫血、呕吐、腹胀、腹部包块、阴囊血肿等,保守治疗后均全部治愈。结论:新生儿肾上腺出血多因产伤引起,临床表现多样,具有一定隐蔽性,多表现为黄疸,超声是首选检查方法,早期发现同时结合内科保守治疗,可挽救大部分患儿的生命。
Objective: To investigate the clinical manifestations, diagnosis and treatment of neonates with adrenal hemorrhage. Methods: The data of neonates with adrenal hemorrhage from June 2009 to July 2013 were collected to analyze the clinical manifestations, diagnosis and treatment of neonatal adrenal hemorrhage. Results: A total of 5 cases of neonatal adrenal hemorrhage, jaundice as the main performance, may be associated with anemia, vomiting, abdominal distension, abdominal mass, scrotal hematoma, conservative treatment were all cured. Conclusion: The neonatal adrenal hemorrhage is mainly caused by birth trauma. The clinical manifestations are diverse, with some concealment and jaundice. Ultrasound is the preferred method of examination. Early detection combined with conservative medical treatment can save the lives of most children.