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为探讨极低出生体重儿颅内出血诱因、影像学诊断、预防、预后，我们总结了我院近二年间极低出生体重儿颅内出血情况。发现窒息、小胎龄、前五胎盘、胎盘早剥等产科并发症是颅内出血重要诱因，鲁米那预防性治疗早期应用才有效。颅内出血中以脑室内出血最多，Ⅲ°～Ⅳ°脑室内出血、脑实质出血、脑室周围出血预后差。新生儿期定期Ｂ超检查可及时发现脑积水、脑室周围白质软化，一岁左右复查时宜选用磁共振，以提高脑室周围白质软化诊断率。
To explore the causes of intracranial hemorrhage, imaging diagnosis, prevention and prognosis of very low birth weight infants, we summarize the intracranial hemorrhage of very low birth weight infants in our hospital in the recent two years. Found that asphyxia, small gestational age, the first five placenta, placental abruption and other obstetric complications is an important intracranial hemorrhage incentive, early prevention and treatment of luminal use is only effective. Intracranial hemorrhage in the most intracerebral hemorrhage, Ⅲ ° ~ Ⅳ ° intraventricular hemorrhage, cerebral parenchymal hemorrhage, poor prognosis of periventricular hemorrhage. Perinatal B-ultrasound can be found in time hydrocephalus, periventricular white matter softening around the age of one year review should use magnetic resonance imaging to improve periventricular leukomalacia diagnostic rate.