What are the possible sequelae of the newborn baby s intracranial hemorrhage if the rescue is not ti

What are the possible sequelae of the newborn baby's intracranial hemorrhage if the rescue is not timely?

Neonatal intracranial hemorrhage is also known as hemorrhagic cerebrovascular disease. Caused by rupture and blood spillage into the cranial cavity. After the onset of the disease, patients experience a series of undesirable symptoms, which may have varying degrees of neural sequence.

Survivors often have sequelae such as epilepsy, cerebral palsy, mental retardation, visual or hearing impairment, and ataxia. What are the complications of intracranial hemorrhage in newborns?

Neonatal intracranial hemorrhage is primarily caused by the nervous system, but the sequelae manifest differently depending on the location of the intracranial hemorrhage. Intravenous hemorrhage can lead to obstruction of cerebrospinal fluid circulation. The earliest babies had intracranial hemorrhage and were stronger.

If aggressive**, including a craniotomy, it can save the baby's life. Relatively narrow brain ducts are prone to blockage. After the aqueduct in the midbrain is blocked, the third and fourth ventricles dilate, causing space occupancy, resulting in hydrocephalus and damage to the white matter around the ventricles.

As a result, it can affect the intelligence of sick children. Compared to children of the same age, the lightest children are characterized by poor motor ability, language impairment, and poor academic performance. With proper ** and education, they can live and learn to achieve small membranous disease and pulmonary hemorrhage.

They often have paroxysmal apnea with cyanosis, convulsions, and advanced coma. Pale bruising, swelling of the anterior fountain, binocular vision, uneven or dilated pupil fixation, neonatal cerebral palsy, audiovisual and visual impairment, behavioral abnormalities, and other sequelae. Children with epilepsy survived the rescue, and the intracerebral hemorrhage did not resolve over time, and blood clots formed over time.

According to the bleeding site, it can be divided into parenchymal intracerebral hemorrhage, ventricular hemorrhage, subarachnoid hemorrhage, subdural hemorrhage, etc. Periventricular subependymal rupture because of the abundance of periventricular capillaries, which are more prone to bleeding. The more pronounced the sequelae are in preterm infants.

There may be secondary epilepsy and mental retardation, but because the baby's brain cells are still developing, there are organized blood clots in the brain, forming abnormal electrical fires, leading to epilepsy and cerebral palsy. Due to severe intracranial hemorrhage, brain cells can be damaged to varying degrees, which may eventually affect the development of brain cells, leading to cerebral palsy.

Intracranial hemorrhage after a fall will not only cause vomiting, but also a series of other undesirable symptoms, such as sluggishness, generally nine-month-old babies are already very flexible

If it is an internal or intracranial hemorrhage, it is likely to be life-threatening for the child, and it is recommended to go to the hospital for examination as soon as possible.

Introduction: Neonatal intracranial hemorrhage is a relatively serious disease, the mortality rate of this disease is relatively high, and the surviving newborns will have sequelae in most cases. For newborns, if intracranial hemorrhage is not rescued in time, it may affect the newborn's life.

Therefore, today I will talk to you about the sequelae that may be left if the newborn baby is not rescued in time for intracranial hemorrhage?

1. Brain development is delayed.

The location and amount of intracranial hemorrhage in newborns have a direct impact on the brain development of newborns. With the progress of science and technology and the improvement of means, many newborn babies have returned to a normal state after a period of time. However, if the newborn baby's intracranial hemorrhage is not rescued in time, it will lead to the newborn's brain development, which is relatively slow compared to his peers.

Once the baby's brain development is delayed, it will bring certain difficulties to the baby in all aspects of life, such as learning, the ability to accept will be slower than others; In terms of thinking about problems, the ability to react is also relatively slow.

Second, the intelligence is relatively low.

Newborn babies may also suffer from mental retardation if they are not rescued in time for intracranial hemorrhage. There are many newborn babies in daily life, due to the age of the pregnant mother or the reason of premature babies resulting in serious intracranial hemorrhage, if the rescue is not timely at this time, it will have a certain impact on the baby's intellectual development in the future. As the child grows up, it will be found that the child's brain development seems to be unsound, and the child's intelligence level will be relatively low.

Third, it may cause various brain diseases.

In addition, if the newborn baby's intracranial hemorrhage is not rescued in time, it will also lead to various brain diseases. For example, there are epilepsy that is common in daily life, and there are also relatively rare hydrocephalus, cerebral palsy, etc.

Therefore, pregnant mothers must be careful during pregnancy, and when the delivery period is approaching, they must maintain a good attitude, once they find a newborn baby, there is any discomfort in the process of delivery, they must immediately seek help from a doctor.

Some neurological problems are very bad for children's growth and have great harm.

Newborn babies with intracranial hemorrhage are not rescued in time, which may cause hemiplegia, aphasia, convulsive seizures, hemianopia, sensory impairment, consciousness disorders, repeated asphyxia attacks, etc., and in severe cases, it can be accompanied by cerebral herniation death. It is also prone to gastrointestinal bleeding, abnormal cardiopulmonary function, water and electrolyte disorders, hydrocephalus, etc.

Examination for intracranial hemorrhage in new infants:

1.Laboratory tests.

1) General inspection.

Anemia may occur in ICH, with increased erythrocyte sedimentation rate, increased number of peripheral white blood cells, and naïve cells may be seen in leukemia. Intracerebral hemorrhage from any cause can cause transient proteinuria, diabetes, and hyperglycemia.

(2) Cerebrospinal fluid examination.

It is indicated for the diagnosis of subarachnoid hemorrhage, and if homogeneous bloody cerebrospinal fluid is found, the diagnosis can be confirmed by excluding a puncture injury. In neonates, it can be distinguished by the presence or absence of hemosiderin macrophages in the cerebrospinal fluid, and if so, by neonatal subarachnoid hemorrhage. Bloody cerebrospinal fluid can last for about 1 week, and the xanthochromia of the supernatant gradually worsens after centrifugation.

In addition, cerebrospinal fluid pressure is increased, protein is increased, and glucose is normal or slightly low. However, if there are severe manifestations of intracranial hypertension or clinical suspicion of ICH elsewhere, lumbar puncture should be postponed to avoid inducing brain herniation.

3) Subdural puncture examination.

It is indicated for the diagnosis of supratentorial subdural hemorrhage, and the diagnosis is confirmed by subdural puncture at the lateral corner of the anterior fontanelle in neonates and infants whose fontanelles have not yet closed. If a subdural hematoma is present, red or yellow or watery fluid containing large amounts of protein may be discharged. To determine whether the subdural hematoma is bilateral, puncture should be performed on both sides of the anterior fontanelle.

It is diagnostic for neonates to have more than the fluid that has been drained after the puncture.

4) ** Physical examination should be combined with the medical history and clinical manifestations of the corresponding examination, such as blood picture, coagulation function, bone marrow aspirate, etc., to identify the cause of bleeding.

2.Other investigations.

1) Cranial CT is the first choice for confirming ICH, which can accurately determine the location and extent of bleeding, estimate the amount of bleeding and detect hydrocephalus after hemorrhage.

(2) Cranial ultrasound is suitable for infants and young children with patent breganelle. The diagnostic yield of ICH is high, and changes in hematoma and ventricular size can be kept abreast of at any time.

3) Magnetic resonance angiography or cerebral angiography is the most reliable method to determine the cause of bleeding and the location of the lesion. In particular, cerebral angiography can confirm the diagnosis and can also be interventional**.

4) Electroencephalography (EEG) during intracerebral hemorrhage, EEG examination can find that there is a localized slow-wave foci on the bleeding side, but it is not specific.

It can cause hydrocephalus, and it can also lead to stunting, developmental delay, and poor brain tissue development in children, so when hydrocephalus** is performed, especially the ventriculoperitoneal shunt, it may also cause a variety of problems.

First, the brain is underdeveloped, second, the intelligence is relatively low, third, the brain is not well developed, fourth, hydrocephalus, fifth, brain tumor, and sixth, intellectual retardation.

Many newborns with intracranial hemorrhage, even after **, will still be left with the sequelae of mental retardation, mainly because intracranial hemorrhage will affect the normal development of many newborn brain cells, which also leads to the newborn's brain intelligence has been affected to a certain extent during growth.

Neonatal intracranial hemorrhage is a serious symptom in the neonatal period, with a high mortality rate, even if it is **, there may be cerebral palsy, epilepsy, limb incoordination, intellectual disability and other problems, so the newborn cerebral hemorrhage, even if cured, may also affect his life, there is a great chance that he can not be a normal person. The main types of neonatal intracranial hemorrhage can be divided into: subdural hemorrhage, subarachnoid hemorrhage, periventricular intraventricular hemorrhage, parenchymal hemorrhage, cerebellar hemorrhage, thalamus, basal ganglia hemorrhage, etc. Depending on the cause of its onset, it can be divided into hypoxic and producing.

Symptoms: Respiratory distress is a common clinical feature of periventricular intraventricular hemorrhage in preterm infants, which can be divided into three types according to the degree of bleeding: clinical aphenotype:

This type is the most common, accounting for more than 50% of cases, this type of bleeding is rare, generally has no clinical symptoms or signs, and is mostly found in routine cranial ultrasound screening of preterm infants after birth. There is no very satisfactory method for hydrocephalus. If this is not possible, a surgical shunt may be considered.

Mortality from neonatal intracranial hemorrhage depends on the population in which the intracranial hemorrhage occurs, whether it is preterm or full-term, the location of the intracranial hemorrhage, and the amount of intracranial hemorrhage. If a large amount of intracranial hemorrhage compresses an important vital center, causing progressive intracranial hypertension, or even leading to hemorrhagic shock, the mortality rate will be relatively high. This symptom is associated with neonatal hypoxia and ischemic encephalopathy.

Central nervous system infections in newborns. Congenital inherited metabolic diseases.

Acute deterioration: occurs in children with severe bleeding for a short period of time, and this type is the least common. The disease progresses rapidly within minutes to hours, with impaired consciousness, apnea, convulsions, fixation of the eyeball, staring, severe hypotonia, tension in anterior halogen, bulge, decreased blood pressure, limp limps, acidosis that is difficult to correct, and death may occur within a short time.

Intracranial hemorrhage in newborns is very dangerous. Be sure to seize the best time to rescue. If not rescued in time, it can cause head injury. Lifetime paralysis.

Neonatal intracranial hemorrhage, rescue is not timely, it is likely to cause a lot of danger, not only physical problems, but also in the future in the intellectual development may also leave some very serious obstacles, a lighter is the child's body saved, but there will be some small diseases, will often occur in the child's body, if more serious, it may affect the child to become cerebral palsy, or disabled, or even the child dies, these are very common.

Sequelae include: mental retardation, epilepsy, cerebral palsy, microcephaly. Intracranial hemorrhage will affect the normal development of brain cells, and if the brain is not fully developed, the IQ will decline to varying degrees.

A large amount of intracranial hemorrhage is cleared in time, and the blood clot becomes organized, which forms an abnormal electrical discharge lesion in the brain, which can lead to epilepsy in the child.

Mental retardation can affect the intelligence of sick children because intracranial hemorrhage can affect the normal development of brain cells. Epilepsy, neonatal intracranial hemorrhage is an important part of pediatric epilepsy. Cerebral palsy, due to severe intracranial hemorrhage, will damage brain cells to varying degrees, and eventually affect the development of brain cells and cause cerebral palsy in sick children.

1.There will be sequelae such as cerebral palsy, epilepsy, mental decline, vision and hearing impairment, ataxia, etc. 2.

In some cases, hydrocephalus and increased intracranial pressure may occur. 3.Half of the affected children may stop developing or recovering, and those with mental retardation have intracranial hemorrhage, which can affect the normal development of brain cells.

4.Affects the child's intellectual, motor behavior, and language dysfunction.

If the intracranial hemorrhage is not rescued in time, it is easy to cause irreversible damage to the brain, and in severe cases, it will cause cerebral palsy, or it will lead to backward mental development. It can also cause ischemia and hypoxia in the brain. Intracranial blood loss in newborns will affect the growth of intelligence, and will also cause mental backwardness, which is very dangerous.

Intracranial hemorrhage is found three days after birth, and should be resuscitated** to prevent exacerbation. Most require surgery**, and ventriculoperitoneal shunt can be selected, but it is easy to be complicated by shunt obstruction and infection after surgery; Minimally invasive endoscopic surgery is also possible**. The latter does not need to be tubed for life.