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[摘要]
目的:观察高危新生儿视网膜出血的发生情况,探讨其相关危险因素。
方法:用广域数字化眼底成像系统(RetCamⅡ)对2012-10/2014-04入住新生儿科的1 463例高危新生儿进行眼底检查。
结果:高危新生儿1 463例中,视网膜出血381例(26.04%)。556例足月儿中视网膜出血82例(14.75%),907例早产儿中视网膜出血181例(19.96%)。从自体因素看,新生儿窒息、新生儿缺血缺氧性脑病、颅内出血者视网膜出血发生率高。从母体因素看,妊娠高血压综合症者视网膜出血发生率高。
结论:高危新生儿的视网膜出血发生率为26.04%,新生儿窒息、新生儿缺血缺氧性脑病、颅内出血、妊娠高血压综合症是视网膜出血的可能危险因素。
[Key word]
[Abstract]
AIM: To investigate the related factors of the retinal hemorrhage in high-risk infants.
METHODS: RetCam Ⅱdevice was used to examine the ocular fundus in 1 463 cases of high-risk infants in our hospital from October 2012 to April 2014.
RESULTS: In 1 463 cases of high-risk infants, retinal hemorrhage was found in 381 infants(26.04%).In 556 cases of full-term newborns, retinal hemorrhage in 82 cases accounted for 14.75%. 181 cases of 907 premature infants were retinal hemorrhage, accounting for 19.96%. From self factor, neonatal asphyxia, neonatal hypoxic ischemic encephalopathy and intracranial hemorrhage had high incidence in retinal hemorrhage. From the maternal factors, pregnancy induced hypertension syndrome have a high incidence of retinal hemorrhage.
CONCLUSION: The incidence of retinal hemorrhage in high risk infant was 26.04%.Neonatal asphyxia, neonatal hypoxic ischemic encephalopathy, intracranial hemorrhage and pregnancy induced hypertension syndrome may play roles of risk factor in retinal hemorrhage of high-risk infants.
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