Liu Bo,Deng Ke,Xie Shigang,et al.Clinical characteristics and surgical treatment analysis of intracranial hemorrhage in full-term neonates[J].Journal of Clinical Pediatric Surgery,,():136-139.[doi:10.3760/cma.j.cn101785-20251027-00018]
Clinical characteristics and surgical treatment analysis of intracranial hemorrhage in full-term neonates
- Keywords:
- Infant; Newborn; Term Birth; Intracranial Hemorrhages; Pathological Conditions; Signs and Symptoms; Surgical Procedures; Operative; Postoperative Complications
- Abstract:
- Objective To analyze the main clinical manifestations,causes of hemorrhage,surgical approaches,and postoperative complications of intracranial hemorrhage in full-term neonates,and to improve clinical understanding and diagnostic and therapeutic management of this condition. Methods A retrospective analysis was conducted on 37 full-term neonates with intracranial hemorrhage who were admitted and underwent surgical treatment in the Department of Neurosurgery and Neonatology at Jinan Children’s Hospital (Children’s Hospital Affiliated to Shandong University) between June 2018 and June 2024.Data on age,gender,mode of delivery,clinical manifestations,etiology,surgical methods,and postoperative complications were collected and analyzed. Results The mean age of the neonates was 8.97 days (range,1-28 days).There were 22 male infants (59.46%) and 15 were female infants (40.54%).15 cases (40.54%) were delivered by cesarean section and 22 cases (59.46%) by vaginal delivery.Reasons for presentation included seizures in 20 cases (54.05%),feeding refusal in 7 cases (18.92%),poor responsiveness in 9 cases (24.32%),jaundice in 5 cases (13.51%),scalp mass in 5 cases (13.51%),apnea in 1 case (2.70%),and deviation of the angle of the mouth in 1 case (2.70%).Hemorrhage locations included epidural hemorrhage in 5 cases(13.51%),subdural hemorrhage in 4 cases(10.81%),and intracerebral hemorrhage in 22 cases (59.46%),involving the frontal lobe in 2 cases (5.41%),temporal lobe in 4 cases (10.81%),parietal lobe in 9 cases (24.32%),occipital lobe in 4 cases (10.81%),insular lobe in 3 cases (8.11%),posterior cranial fossa in 8 cases (21.62%),and intraventricular hemorrhage in 5 cases (13.51%).The causes of hemorrhage were arteriovenous malformations in 15 cases (40.54%),aneurysms in 2 cases (5.41%),coagulation dysfunction in 10 cases (27.03%),mechanical injury in 5 cases (13.51%),and unknown causes in 5 cases (13.51%).Surgical procedures included craniotomy with hematoma evacuation in 27 cases (72.97%) and burr-hole drainage in 10 cases (27.03%).Postoperative complications included hydrocephalus in 5 cases (13.51%),all of which required ventriculoperitoneal shunting,epilepsy in 4 cases (10.81%),and limb motor dysfunction in 3 cases (8.11%). Conclusions Intracranial hemorrhage in full-term newborns presents with diverse and non-specific clinical manifestations and has complex etiologies.Comprehensive neuroimaging and laboratory examinations facilitate etiological diagnosis and timely surgical intervention,thereby improving prognosis.
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收稿日期:2025-10-27。
通讯作者:王广宇,Email:jnsetyysjwk@163.com