저체중 출생아에서 초음파를 이용한 두개강내 출혈의 진단과 추적
Neurosonographic Evaluation and Follow-up Study of GMH/IVH in Infants with Less than 2500mg
소속 상세정보
조은영
최진옥/이명숙/지정익/위주환/이학송/이오경
KMID : 0386119930290061306
Abstract
GMH/IVH(Germinal martrix-Intraventricular hemorrhage ) is an inportant factor that influences on the mortality rate of low-birth-weight infants. The real-time high resolution sonography with a mechanical sector scanner is a convenient and useful
method
for the detection and follow-up study of intracranial hemorrhage in low-birth-weight infants.
Authors analysed 112 cases of neurosonographic findings in low-birth-weight infants, weighing less than 2,500gm. The incidence of GMH/IVH was 54.5%. The severity of GMH/IVH was classified into 4 grades(I-IV) and their percentages were 41%, 41%
8.1%, and
9.9%, respectively. The onset of GMH/IVH was within the first week after birth in 75.4% of cases. The overall mortality rate of low-birth-weight infants with GMH/IVH was 18% (4% for grade I, 12% for grade II, 40% for grade III and 83% for grade
IV). In
the follow-up study of 61 cases, complete absorption was seen in 25 cases, rebleeding in 5 cases, cystic change in 24 cases, ventriculomegaly in 9 cases and hydrocephalus in 7 cases. The incidence of GMH/IVH in neonates with pathologic lung
conditions
was 82.5% and that with normal lung conditions was 39%.
In conclusion, sonography is very useful in the diagnosis and follow-up of GMH/IVH in low-birth-weight infants. Our study is the first step in the further study of the relationship between GMH/IVH and neuromotor outcome.
키워드
원문 및 링크아웃 정보
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