Neonatal Clinical manifestations of intracranial hemorrhage

(1) intracranial hemorrhage common clinical manifestations The clinical manifestations of intracranial bleeding and bleeding site, the extent of bleeding. Reflected mainly in the excitement of the central nervous system, inhibited symptoms, Multiple birth three days within. Early symptoms of excitement, such as irritability, cerebral scream, convulsions, and so on. With the condition, it appeared inhibited state, such as drowsiness, coma, muscle tone low, hugging anti - such as when weaken or disappear. Often looking pale, bruised, the former full or uplift, eyes staring, blink, double-jung fixed pupil size, light reflectivity disappear, or irregular breathing, such as performance of the suspension. (B) the location of the clinical features of hemorrhage 1. Subdural hemorrhage As more production from injury. First cerebellar hemorrhage on the screen showed, cerebral scream, eyes staring convulsions, and other exciting performance, and the illness was further developed, there will be the inhibition. Screen cerebellar hemorrhage bleeding lesions oppression by the medulla oblongata, there will be the disturbance of consciousness, irregular breathing, or paroxysmal apnea stop breathing, muscle tone lower. 2. Subarachnoid hemorrhage More common in premature infants, often stifled history for the primary, as well as intraventricular hemorrhage or expandable hardware under subarachnoid hemorrhage caused by the blood flow. Less can be asymptomatic hemorrhage, or only, low muscle tone, often in one week resume. The amount of bleeding symptoms are more obvious, there may be convulsions, but he was clearly convulsion interval. Let difficult subarachnoid blood brainstem compression, the prognosis is good, but can also be serious bleeding condition deteriorated rapidly and even death, can be left with hydrocephalus sequels. 3. Brain Hemorrhage For many premature infants. No specific clinical manifestations, when bleeding to the brain stem compression, can be manifested as apnea and bradycardia. 4. Periventricular and intraventricular hemorrhage More common in premature infants with asphyxia at birth and history of. Clinical manifestations such as these, and often occurred in Health after 24 to 48 hours, the symptoms of varying severity. Severe cases can rapidly deteriorate, in a few minutes or a few hours into the coma, convulsions, muscle tension of the lower limbs, the former plump, pupillary light reflex disappeared, such as apnea. More than amount of bleeding, anemia, blood pressure did not rise. 5. Epidural hemorrhage Common in forceps delivery, often accompanied skull fracture. Symptoms significantly increased intracranial pressure, a serious brain stem dysfunction gradually worsened or even death. 6. Cerebellar hemorrhage Many occurred in very low birth weight infants. Rapid onset, apnea, bradycardia and brainstem dysfunction.