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Hidrocefalia poshemorrágica asociada a la prematuridad: evidencia disponible diagnóstica y terapéutica

机译:与早产相关的出血后脑积水:可用的诊断和治疗证据

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Intraventricular haemorrhage and posthemorrhagic hydrocephalus are the most important neurological complications in preterm infants during the neonatal period91. The prevalence of germinal matrix-intraventricular haemorrhage widely varies depending on the population of study19,36,47,56,61,71,93, but it is in any case increasing due both to the higher incidence of multiple and preterm deliveries as well as the longer survival of preterm infants favoured by recent advances in perinatal care85. It is therefore of the utmost convenience to be familiar with the most important clinical evidence regarding this entity. However, the available evidence is often incomplete and piecemeal. The objective of the present review is to summarise the main diagnostic and therapeutic points regarding preterm-related posthemorrhagic hydrocephalus. The participants of the working-group in Pediatric Neurosurgery of the Spanish Society of Neurosurgery were asked to write these recommendations down. This hopefully represents the first step towards the definition of a clinical guide in the treatment of complications related to periventricular hemorrhage of the preterm infants.
机译:在新生儿期,脑室内出血和出血后脑积水是早产儿最重要的神经系统并发症。根据研究人群的不同,生发性基质-脑室内出血的患病率差异很大[19,36,47,56,61,71,93],但无论如何,由于多次分娩和早产的发生率较高以及围产期护理的最新进展有利于早产儿的更长寿85。因此,熟悉有关该实体的最重要的临床证据是最方便的。但是,可用的证据通常不完整且零散。本文的目的是总结有关早产后出血性脑积水的主要诊断和治疗要点。西班牙神经外科学会小儿神经外科工作组的参与者被要求写下这些建议。这有望代表定义早产儿脑室出血相关并发症的临床指南定义的第一步。

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