| Incidence and Risk Factors of Periventricular and Intraventricular Hemorrhage in Low Birth Weight Infants. |
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Chul Lee1, Heung Dong Kim1, Ki Keun Oh1, Dong Gwan Han2 |
1Department of Pediatrics, Yonsei University College of Medicine
2Department of Radiology, Yonsei University College of Medicine |
| 저출생 체중아에서 뇌실주위 및 뇌실내 출혈의 빈도와 위험 인자에 대한 조사
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이 철1, 김흥동1, 오기근1, 한동관2 |
1연세대학교 의과대학 소아과학교실
2연세대학교 의과대학 방사선과학교실 |
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| Abstract |
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Real time ultrasound scans were performed on 54 low-birth weight infants within the 7th 'birth day.
Fifty infants were inborn. The incidence of periventricular and intraventricular hemorrhage (PV-IVH)
was 38.9%. Seven of 21 infants had mild hemorrhage (Papile, grade I and II): Others sustained severe hemorrhage(Papile, grade III and IV ). Low Apgar score, respirator care and use of dopamine were postnatal
risk factors for severe PV-IVH. Falling Het., apnea, bulging fontanelle and seizure were symptoms and signs associatod with severe PV-IVH. Hyaline membrane disease, oliguria, PDA and pneumothorax were frequently
associated with severe PV-IVH. Acidemia and NaHCO3 administration for correction of metabolic acidosis within
24 hour after birth increased the risk of severe PV-IVH. The mortality in this study was 18.5%.
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| Key Words:
Periventricular-intraventricular hemorrhage, Low-birth-weight infants, Real-time ultrasound.
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