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颅内出血(ICH)是新生儿期死亡及主要致残原因之一,而蛛网膜下腔出血(SAH)占各部位出血发病率之首。我科1995年1月～1997年12月收治新生儿SAH54例,男38例,女16例;入院年龄<24小时28例,～3天24例,>3天2例;胎龄<37周8例,37～41周40例,≥42周6例;胎儿宫内窘迫24例,羊水Ⅱ°～Ⅲ°污染20例,脐带及胎盘异常27例;轻度窒息12例,重度窒息15例。临床表现:兴奋症状为主者18例,抑制症状为主者10例,兴奋与抑制交替2例,典型凝视抽搐及前囟饱满4例,哭声尖叫2例,肌张力改变20例,原始反射异常21例,无典型神经系统症状体征表现者15
Intracranial hemorrhage (ICH) is one of the causes of neonatal death and major disability, while subarachnoid hemorrhage (SAH) accounts for the highest incidence of bleeding in all parts. Our department from January 1995 to December 1997 54 cases of neonatal SAH, 38 males and 16 females; admission age <24 hours in 28 cases, ~ 3 days in 24 cases,> 3 days in 2 cases; gestational age <37 weeks 8 cases, 37 to 41 weeks in 40 cases, ≥ 42 weeks in 6 cases; 24 cases of fetal distress, 20 cases of amniotic fluid Ⅱ ° ~ Ⅲ ° pollution, umbilical cord and placental abnormalities in 27 cases; mild asphyxia in 12 cases, severe asphyxia in 15 cases . Clinical manifestations: the main symptoms of excitement in 18 cases, inhibition of symptoms in 10 cases, alternating excitement and inhibition in 2 cases, the typical gaze and convulsions in the anterior fontanelle 4 cases, crying cries in 2 cases, muscle tone changes in 20 cases, the original Reflex abnormalities in 21 cases, without typical nervous system symptoms and signs were 15