新生儿galgalal下出血的临床特点及预后。

Korean Journal of Pediatrics Pub Date : 2018-12-01 Epub Date: 2018-09-16 DOI:10.3345/kjp.2018.06800
Sun Jin Lee, Jin Kyu Kim, Sun Jun Kim
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引用次数: 15

摘要

目的:galeal下出血(SGH)是一种罕见但可能致命的新生儿疾病;然而,很少有研究报道这种情况。我们的目的是确定SGH的临床特征和预后因素。方法:回顾性分析2000年1月至2017年6月期间诊断为SGH的20例新生儿的医疗记录。入组的新生儿临床诊断时,他们有柔软的波动头皮肿胀越过缝合线。结果:20例SGH新生儿中,男12例,女7例;中位住院时间为9.7±6.9天。14例新生儿(70%)通过真空辅助阴道分娩出生,4例通过真空辅助剖宫产出生。在纳入的新生儿中,有一半最初表现出不稳定的生命体征,包括呼吸暂停、去饱和和紫绀。结论:重度代谢性酸中毒发生率为41.2%。贫血、高胆红素血症、低Apgar评分和硬膜下出血不影响预后。SGH新生儿的长期预后通常是良好的。只有动脉血pH值与死亡显著相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The clinical characteristics and prognosis of subgaleal hemorrhage in newborn.

The clinical characteristics and prognosis of subgaleal hemorrhage in newborn.

The clinical characteristics and prognosis of subgaleal hemorrhage in newborn.

Purpose: Subgaleal hemorrhage (SGH) is a rare but potentially fatal condition in newborns; however, few studies have reported on this condition. We aimed to identify the clinical characteristics and prognostic factors of SGH.

Methods: We retrospectively reviewed the medical records of 20 neonates diagnosed with SGH between January 2000 and June 2017. Enrolled neonates were clinically diagnosed when they had tender fluctuant scalp swelling that crossed the suture lines.

Results: Among 20 neonates with SGH, 12 were boys and 7 were girls; median hospitalization duration was 9.7±6.9 days. Fourteen neonates (70%) were born via vacuum-assisted vaginal delivery, and 4 via vacuum-assisted cesarean section. Of the neonates enrolled, half of them initially showed unstable vital signs, including apnea, desaturation, and cyanosis. Ten neonates had acidosis and 3 had asphyxia (pH<7.0). Intracranial lesions associated with SGH were observed in 15 neonates (75%), including subdural hemorrhage (50%), subarachnoid hemorrhage (15%), intraventricular hemorrhage (5%), cerebral infarct (15%), skull fracture (30%), and cephalohematoma (20%). Twelve neonates (60%) required transfusion, 5 (25%) had seizures, and 3 (15%) died. Eight neonates (40%) had hyperbilirubinemia (mean total bilirubin, 13.1±7.4). The mean follow-up period was 8.4±7.5 months. At follow-up, 10 neonates (58.8%) were healthy with normal development, whereas 7 (41.2%) had neurological deficits.

Conclusion: The morbidity rate was 41.2% due to severe metabolic acidosis. Anemia, hyperbilirubinemia, low Apgar scores, and subdural hemorrhage did not affect the prognosis. The long-term outcomes of neonates with SGH are generally good. Only arterial blood pH was significantly associated with death.

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来源期刊
自引率
0.00%
发文量
0
审稿时长
12 weeks
期刊介绍: Korean J Pediatr covers clinical and research works relevant to all aspects of child healthcare. The journal aims to serve pediatricians through the prompt publication of significant advances in any field of pediatrics and to rapidly disseminate recently updated knowledge to the public. Additionally, it will initiate dynamic, international, academic discussions concerning the major topics related to pediatrics. Manuscripts are categorized as review articles, original articles, and case reports. Areas of specific interest include: Growth and development, Neonatology, Pediatric neurology, Pediatric nephrology, Pediatric endocrinology, Pediatric cardiology, Pediatric allergy, Pediatric pulmonology, Pediatric infectious diseases, Pediatric immunology, Pediatric hemato-oncology, Pediatric gastroenterology, Nutrition, Human genetics, Metabolic diseases, Adolescence medicine, General pediatrics.
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