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PREMATÜRE BEBEKLERDEKİ İNTRAVENTRİKULER KANAMANIN MORTALİTE VE MORBİDİTESİ

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Abstract (2. Language): 
The mortality and morbidity of intraventricular hemoırhage in prematüre babies. Most of the intracranial hemorrhages in newborn babies are due to germinal matrİx and intraventricular hemorrhages {GMH-IVH). Very low birth weight babies and babies cxposed to perinatal asph-yxia are prone tho these kinds of hemorrhages. We evaluated the mortality and morbidity rates of babies developing GMH-IVH dnring their hospitalization period. GMH-IVH deveîoped in 98 of 1184 prematüre babies born in our elinic. Mcan gestational age of these babies was 30,2 ± 1,2 vvecks, mean birthweight was 1491 ± 249 g and mean Apgar score was 4,7 JE 0,3. Perinatal asphyxia was present in 58 of 98 babies. The incidence of GMH-IVH among ali prematüre babies was 8,2% and mortality 6,2%, while these fıguıes werc 16,7% and 13,6% respeeti-vely among babies below 32 wecks gestational age.
Abstract (Original Language): 
Germinal matriks kanaması (GMK)-intraventrikiiIer kanama (İVK) yenidoğanın intrakranial kanamalarının en sık görülen şeklidir. Çok düşük doğum ağırlıklı pretermler ve perİnatal hi-poksidc kalmış tüm yenidoğanlar kanamaya eğilimlidir. Bu yazıda ünitemizde yatmakta iken GMK-İVK gelişen prematüre bebekierdeki mortalite ve morbiditeler İncelenmektedir. Kliniğimizde iki yıl içinde doğan 1184 prematüre bebekten 98'İnde GMK-İVK gelişti. Kanama saptanan bebeklerin doğum tartıları ortalama 1491 ± 249g. Gestasyon yaşı ortalaması 30.2 ± 1.2 hafta, Apgar ortalaması 4.7 ± 0.3 idi. 98 olgunun 58 tanesinde perinatal asfiksi saptandı. Doğan tüm bebekler arasında GMK-İVK insidansı %8.2, mortalite %6.2 iken 32 hafta ve altında doğan 411 bebek arasında GMK-İVK insidansı %16.7.mortalite %13.6 olarak bulundu.
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REFERENCES

References: 

1. Apak S: İntrakranial kanamalar. In: Dağoğlıı T (ed) Neo-natoloji. Nobel Tıp Kitapevi, İstanbul; 587 (2000).
2. Apgar VA: Proposal for a new tnethod of evaluation of the newborn infant. Curretıt Researches in Aneslhesia and Analgesia 32:260 (1953)
3. Dağoğlu T, Ovalı F, Samancı N: Çok düşük doğum ağırlıklı prematüre bebeklerde görülen respiratuar distress sendromunım tedavisinde surfaktan kullanımı. 26 vakahk deneyimin sonuçlan. İst Tıp Fak Mecm 3:51 (1995).
4. Dubowîtz LM, Dubowitz V, Goidberg C: Clinical asses-ment of gestational age in the newborn infant. J. Pediatr. 77: İ (1970).
5. Dykes FD, Dıımber B, Lazarra A, et al.; Post hemorhagic hydroeephalus in high risk preterm İnfants, natura! his-tory, management and iong term outeome. J.Pediatr 114:611(1989).
6. Fujimura M, Saüsbmy DM, Robinson RD, et al.: Clinical evenls relating to intraventricular hcmorrhage in the nevvbom. Arch Dis Child 54:409 (1979).
7. Fumato M, Tamai HN, Kurita T: Clinical events in asso-ciation witb tİming of intraventricular hemoırhage in preterm infants. J.Pediatr 121:614 (1992).
8, Ment LR, Aüsrair GSP, Ehrenkranz RA, et :ıl.: Risk fac-tors for carly intaventricular hemorrahge in low birth we-ight infants. 1 Pediatr 12: 776 (1992).
9. Pancth N, Pinto MJ, Gardner J: Incidence and timing of germinal malrix hemorrhage-intraventricular hemorrhage in low birth weight infanls. Anı J Epidemiol 137:1167 (1993).
10. Papile LA, Burstein R, Koffler H: Incidence and evaluation of subependymal and intraventricular hemorrhage. J Pediatr 92:529 (1978).
11. Tejani N, Rebold B, Tuch S, et al.: Obstctric factors in the causaüon of early periventricular-intraventricular hemorrhage. Obstet Gynccol 64: 510'(1984).
12. Tsiantos A, Viclorin LH, Relier JP: Intracranial hemoırhage in the prematurely born infant: Timing of elots and evaluation of clinical sîgns and synıptoms. J Pediatr. 8:854,(1974).
13. Van de Bor M, Vcrloove-Vonherck SP, Brand R, Kerse MJ, Ruys JH: Incidence and predietion of peıiventricu-hır-intraventrucular hemorrhage in very preterm infants. J Perinat Med. 15:333 (1987).
14. Wyatt JS, Edwards AD, Lope M, Deİph CT, Mc Cor-mick DC, Potter A: Rcsponse of cerebra! blood volumc to changcs in arteria! carbondioxidc tension in preterm and (erm infants. Pediatr Res 29: 553 (1991).

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