All issues > Volume 29(11); 1986

Original Article

J Korean Pediatr Soc. 1986;29(11):1179-1186. Published online November 30, 1986.

Incidence and Risk Factors of Periventricular and Intraventricular Hemorrhage in Low Birth Weight Infants.

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

Abstract

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%.

Keywords :Periventricular-intraventricular hemorrhage; Low-birth-weight infants; Real-time ultrasound.