...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Medical science monitor : >The follow-up study of infants with congenital hydrocephalus
【24h】

The follow-up study of infants with congenital hydrocephalus

机译：先天性脑积水婴儿的随访研究

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: Congenital hydrocephalus is the cause of heavy mental and physical handicap in children. Technical advances in sonography have facilitated the diagnosis of hydrocephalus in utero. The aim of the study was to follow the further development of children born with hydrocephalus. Material/Methods: We performed a follow-up study of 30 infants born with congenital hydrocephalus between 1991 and 2001, in the Department of Obstetrics of the Medical University of Gdafsk. The analyzed group consisted of children who lived until the end of the observation period (till 28.02.2003). We analyzed the fetal age at diagnosis, the time of delivery and mode of delivery. Newborn’s clinical charts were reviewed for the newborn’s state after birth, birth weight, head circumference and the presence of clinical symptoms of hydrocephalus. We analyzed the cause of death, shunt placement after birth and status of living infants.Results: In the period of 1991–2001 the 22.534 births took place. Hydrocephalus was diagnosed in 30 newborns born alive or dead. Its’ incidence was 1.2 per 1000 of all births. Eighteen (60%) newborns were delivered vaginally and 12 of them (40%) by cesarean section. Nineteen (63.3%) newborns were born at term and 11 (36.7%) – before term. In 26 cases (86.6%) hydrocephalus was diagnosedin utero. Six children (20%) were still born. By the end of the observation period, 18 (60%) children died and 6 (20%) children survived. Factors influencing the rise of risk of death in these children were prematurity, the presence of other central nervous system malformations or that of other organs. In the group of 6 children that survived until the end of the study, 2 of them had not and the other four had present neurological abnormalities ranging from severe (paralysis and incontinence) to minimal defects.Conclusions: Congenital hydrocephalus is still associated with high newborn’s and older children’s death rate. The presence of other malformations of central nervous system, as well as of the other organs, has a negative impact on the survival rate of children with hydrocephalus.
机译：背景：先天性脑积水是儿童严重身心障碍的原因。超声检查技术的进步促进了子宫内积水的诊断。该研究的目的是追踪脑积水出生儿童的进一步发展。材料/方法：我们对1991年至2001年在格达夫斯克医科大学的产科进行的30例先天性脑积水婴儿进行了追踪研究。分析的组包括直到观察期结束（至2003年2月28日）为止的儿童。我们分析了诊断时的胎儿年龄，分娩时间和分娩方式。回顾了新生儿的临床图表，了解新生儿的出生状况，出生体重，头围和脑积水的临床症状。我们分析了死亡原因，分娩后分流的位置以及活婴的状况。结果：在1991年至2001年期间，发生了22.534例分娩。在30名活产或死亡的新生儿中诊断出脑积水。它的发生率是每1000婴儿中1.2。 18例（60％）新生儿经阴道分娩，其中12例（40％）剖宫产。足月出生的新生儿为19例（63.3％），足月之前为11例（36.7％）。 26例（86.6％）脑积水被诊断为子宫内子宫。仍有六个孩子（占20％）出生。到观察期结束时，有18（60％）名儿童死亡，6（20％）名儿童存活。影响这些儿童死亡风险上升的因素是早产，其他中枢神经系统畸形或其他器官的畸形。在直到研究结束之前存活的6名儿童中，有2名儿童没有，其他4名儿童表现出神经系统异常，范围从严重（瘫痪和失禁）到极少的缺陷。结论：先天性脑积水仍与高龄新生儿相关和大孩子的死亡率。中枢神经系统以及其他器官的其他畸形的存在对脑积水患儿的存活率具有负面影响。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号