[在中国深对新生儿中风的多中心研究]
Li-Xiu Shi1, Jin-Xing Feng1, Yan-Fang Wei1
1Department of Neonatology, Shenzhen Children's Hospital, Shenzhen, Guangdong 518034, China (Feng J-X, Email: szfjx2013@hotmail. com).
概括
深新生儿中风发病率较低,缺血性中风最常见,经常出现. 尽管有支持性护理,但许多婴儿的预后不好,这凸显了改善结果的必要性.
科学领域:
- 神经学 神经学
- 儿科 儿科 儿科
- 公共卫生 公共卫生
背景情况:
- 新生儿中风是新生儿神经功能障碍的重要原因之一.
- 了解它的流行病学和临床特征对于及时诊断和管理至关重要.
研究的目的:
- 为了确定新生儿中风的发病率在深,中国.
- 描述新生儿中风的临床表现,治疗和预后.
主要方法:
- 深21个机构的合作网络从2020年1月到2022年12月收集了36例新生儿中风病例的数据.
- 分析包括发病率,临床特征,治疗方法和12个月后续预后.
主要成果:
- 发病率在1/15,137至1/6,060个出生之间. 缺血性中风占病例的75%,主要影响男性,发生在出生后3天内.
- 是最常见的初始症状 (53%). 左脑梗塞和基底腺梗塞是MRI上经常发现的发现,中脑动脉干扰在75%的MRA病例中被发现.
- 在72%的新生儿中,脑电图显示了尖的波浪. 新生儿行为神经学评估得分表明潜在的神经发育缺陷,44%的新生儿在12个月后有良好的预后.
结论:
- 缺血性中风是深新生儿中风的主要类型,经常出现和特有的EEG/成像发现.
- 目前的治疗主要涉及症状和支持性护理. 显著的比例的新生儿经历一个糟糕的预后,强调需要进一步的研究和治疗进步.
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