[1]麦伟虎,黎小年.高危新生儿视网膜出血的原因分析[J].齐鲁医学杂志,2017,32(06):685-687.[doi:10.13362/j.qlyx.201706015]
 MAI Weihu,LI Xiaonian.CLINICAL ANALYSIS OF CAUSES OF RETINAL HEMORRHAGE IN HIGH-RISK NEONATES[J].Medical Journal of Qilu,2017,32(06):685-687.[doi:10.13362/j.qlyx.201706015]
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高危新生儿视网膜出血的原因分析()
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《齐鲁医学杂志》[ISSN:1008-0341/CN:37-1280/R]

卷:
第32卷
期数:
2017年06期
页码:
685-687
栏目:
出版日期:
2018-03-20

文章信息/Info

Title:
CLINICAL ANALYSIS OF CAUSES OF RETINAL HEMORRHAGE IN HIGH-RISK NEONATES
文章编号:
1008-0341(2017)06-0685-03
作者:
麦伟虎黎小年
海南省妇幼保健院眼科,海南 海口 570206
Author(s):
MAI Weihu LI Xiaonian
The Maternal and Child Health Hospital of Hainan Province, Haikou 570206, China
关键词:
视网膜出血婴儿早产新生儿筛查窒息危险因素
Keywords:
retinal hemorrhage infant premature neonatal screening asphyxia risk factors
分类号:
R774.1
DOI:
10.13362/j.qlyx.201706015
文献标志码:
A
摘要:
目的 探讨高危新生儿视网膜出血的原因,并分析其影响因素。
方法 出生1~7 d有早产、窒息或难产史等高危因素的新生儿526例,散瞳后用儿童广域视网膜成像系统进行眼底检查,记录视网膜出血情况,按出血程度分为1、2、3度。对不同程度视网膜出血与窒息程度、分娩方式的关系进行分析。
结果 526例高危新生儿出现视网膜出血者110例,发生率为21%。经阴道分娩418例,出现视网膜出血98例,发生率23.4%。新生儿视网膜出血主要表现为视网膜浅层出血。视网膜出血发生与新生儿性别、出生体质量差异无关(P>0.05);与分娩方式相关,经阴道分娩引起的视网膜出血发生率较剖宫产高,差异有显著性(χ2=36.999,P<0.01)。视网膜出血程度与窒息的程度有明显相关性,重度窒息较轻度窒息更容易引起新生儿视网膜出血(χ2=6.172,P<0.05)。
结论 高危新生儿视网膜出血发生与性别和出生体质量无关,与窒息和分娩方式有关,一般出血2个月内能完全吸收。
Abstract:
Objective  To explore the causes of retinal hemorrhage in high-risk neonates, and to analyze the influencing factors.
Methods  A total of 526 neonates (1-7 days after birth) with high-risk factors such as preterm birth, asphyxiation, and difficult birth were examined using the Retcam Ⅲ wide-field imaging system after mydriasis to record retinal hemorrhage. According to the degree of bleeding, these subjects were classified into 1,2, and 3 degrees. The relationship of the degree of retinal hemorrhage with the degree of suffocation and the mode of delivery was analyzed.
Results  Among the 526 high-risk neonates,110 (21%) had retinal hemorrhage. Among the 418 neonates born by vaginal delivery,98 (23.4%) had retinal hemorrhage. Neonatal retinal hemorrhage mainly manifested as superficial hemorrhage of the optic network. Neonatal retinal hemorrhage was not related to sex and birth weight (P>0.05); the incidence of retinal hemorrhage was significantly higher in the neonates born by vaginal delivery than in those born by cesarean section (χ2=36.999,P<0.01). The degree of retinal hemorrhage was significantly related to the degree of asphyxia (χ2=6.172,P<0.05); severe asphyxia was more likely to lead to retinal hemorrhage than mild asphyxia.
Conclusion  Retinal hemorrhage in high-risk neonates is not associated with sex and birth weight, but is associated with asphyxiation and the mode of delivery, which can be absorbed completely within 2 months.
更新日期/Last Update: 2018-03-24