新生儿肾上腺出血30例临床分析

新生儿肾上腺出血30例临床分析

张韩珉;胡波;付庆明;周碧华;蔡成

【期刊名称】《中国新生儿科杂志》 【年(卷),期】2013(028)004

【摘要】目的 探讨新生儿肾上腺出血的临床特点、超声表现及诊断价值.方法 收集我院2007年6月至2012年7月有黄疸、窒息等临床表现的新生儿肾上腺出血患儿资料,分析新生儿肾上腺出血的临床特点及超声表现.结果 共30例新生儿肾上腺出血患儿,诊断日龄1h至27天,其中＜7天23例,≥7天7例；男22例,女8例；右侧26例,左侧4例.超声表现特征为肾上腺区混合回声,实性或液性团块,彩色多普勒不能探及血流信号.临床表现87％有黄疸,13％有贫血、休克等表现,30例均治愈.结论 新生儿肾上腺出血临床表现多样,缺乏特异性,多表现为黄疸,保守治疗治愈率高；超声是首选检查方法.%Objective To retrospectively evaluate the clinical characteristics on diagnosis of neonatal adrenal haemorrhage (NAH) via ultrasound and the value of ultrasound in tracking adrenal haemorrhage changes over a 7month period.Methods Ultrasounds were performed on 3778 neonates who presented with a broad set of clinical indicators (such as jaundice and birth asphyxia) from June 2007 until July 2012.30 cases with NAH were diagnosed via ultrasound.These 30 cases were then followed up after discharge using ultrasound to track mass and shape changes at 15 days,1 month,3 months and 7 months.Results 30 cases (male 22,female 8) with NAD,26 cases were right sided,4 cases were left sided.Diagnostic