早产新生儿出血性疾病的临床研究  

The Clinical Study of Hemorrhagic Disorders on Premature Imfants

作　　者：黄苹 

机构地区：[1]武汉市东西湖妇幼保健院,武汉430040

出　　处：《血栓与止血学》2005年第1期17-18,共2页Chinese Journal of Thrombosis and Hemostasis

摘　　要：目的探讨早产新生儿出血的病因以利早期防治。方法28～32周胎龄出生的早产新生儿50例,测定其部分凝血活酶时间(APTT)、凝血酶原时间(PT)、凝血酶时间(TT)、纤维蛋白原(Fhg)含量与血小板计数(BPC);并分析其出血病因与危重评分的关系。结果早产新生儿常伴出血倾向,出血率60%(30/50);重型最高,为40%(20/50)。病因中以播散性血管内凝血(DIC)最高,占出血病例中的40%(12/30);其次为脑室内出血(IVH),占33.3%(10/30); DIC者死亡6例,IVH者死亡5例,各占该病例的50%.结论早产新生儿常有出血倾向,应密切观察以便能早期发现DIC与IVH。Objective To explore cause of bleeding on premature infants for early prevent and treatment. Methods Premature infants 50 cases (28-32 weeks gestation) assag APTT,PT,TT,Fbg and BPC. Between the cause of hemorrhage and risk price were analyzed. Results Premature infants common present hemorrhagic tendency. The cases of bleeding up to 60% (30/50) , severe type were 40% (20/52) . The cause of bleeding 40% (12/30) ascribe to disseminated intravascular coagulation ( DIC) and 33. 3% (10/30) ascribe to intraventricala hemorrhage. DIC dead 6 cases (50% ,6/12) IVH dead 5 cases (50% ,5/10). Conclusion Hemorrhagic tendency were common with prmature infants. Should be close watch, so that DIC and IVH can early discover.

关 键 词：早产新生儿 出血性疾病 播散性血管内凝血 脑室内出血 

分 类 号：R722.1[医药卫生—儿科]