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《Chinese Journal of Medical Imaging Technology》 2011-08
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Ultrasonic diagnosis and analysis of the high-risk neonatal periventricular-intraventricular hemorrhage

CHEN Wen-min1,MA Xiao-yan2(1.Department of Ultrasound,Maternal and Infant District,Guangzhou Women and Children's Medical Center,Guangzhou 510180,China;2.Department of Ultrasound,Guangdong Women and Children's Hospital and Health Institute,Guangzhou 510010,China)  
Objective To investigate the ultrasonic diagnosis and related clinical factors of the high-risk neonatal periventricular-intraventricular hemorrhage(PIVH),and to observe the diagnostic value of cranial ultrasound for PIVH.Methods All 1768 high-risk newborn infants were examined bedside by cranial ultrasound,and the data were analyzed.Results Ninty-one cases were diagnosed as PIVH by ultrasound.Of the 91 cases,68.13%(62/91) were premature infants,53.85%(49/91) were low birth weight infants.Severe PIVH(grade Ⅲ and Ⅳ) accounted for 13.33%(6/45) in gestational age from 32 weeks to 37 weeks cases,accounted for 41.18%(7/17) in gestational age 32 weeks cases(P=0.04).Among newborn infants with birth weight 1.5 kg to 2.5 kg in PIVH,severe PIVH accounted for 8.82%(3/34),while with birth weight 1.5 kg,severe PIVH accounted for 40.00%(6/15,P=0.03).Conclusion In premature infants,the smaller gestational age,the higher severe PIVH incidence.In low birth weight infants,the lower birth weight,the higher severe PIVH incidence and the more serious hemorrhage.Cranial ultrasound examination is a very effective and feasible tool for detecting PIVH in the high-risk newborn infants.
【CateGory Index】: R722
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