颅内非外伤性出血病例中的新生儿死亡率及其预测指标

U.G. Mursalova, A. K. Mammadbayli, Sh.N. Guluzade
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摘要

研究目的评估患有颅内非创伤性出血的早产新生儿的死亡率和预测因素。材料和方法。对 996 名新生儿进行了全面的神经学和神经超声检查。被确诊为颅内非外伤性出血的患儿被送入重症监护室,并按照国家临床方案接受治疗。研究结果发现了与新生儿死亡率显著增加有关的预测因素。结论围产中心颅内非外伤性出血患儿的死亡率为(30.7±3.7)%。死亡率风险预测因素为多胎妊娠、胎龄小于32周、Apgar评分≤3分、出生体重小于1500克、出血严重程度为III级和IV级。
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NEONATAL MORTALITY AND ITS PREDICTOR IN CASES OF INTRACRANIAL NON-TRAUMATIC HEMORRHAGES
The aim of the study. To assess the rate and predictors of mortality among premature newborns with intracranial non-traumatic hemorrhages. Materials and methods. 996 newborns have been examined by means of comprehensive neurological and neurosonographic methods. Children with approved diagnosis of intracranial non-traumatic hemorrhages were placed in the intensive care unit and underwent the treatment in correspondence with the national clinical protocols. Results. The predictors, which are associated with a statistically significant increase in neonatal mortality, have been detected. Conclusion. The mortality rate among children with intracranial non-traumatic hemorrhages in Perinatal Center was 30.7±3.7%. Mortality risk predictors are multiple pregnancy, gestational age <32 weeks, Apgar score ≤3, birth weight <1500 grams, the severity of the hemorrhage III and IV.
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