TY - JOUR T1 - Üçüncü Düzey Bir Ünitede Germinal Matriks-İntraventriküler Kanama Tanısı Alan Pretermlerin İncelenmesi: 4 Yıllık Deneyim TT - Investigation of Preterms Diagnosed with Germinal Matrix Hemorrhage-Intraventricular Haemorrhage in the Third Level Intensive Care Unit: 4-Years Experience AU - Güney Varal, İpek AU - Açar Çelik, Ezgi Deniz AU - Doğan, Pelin AU - Kazancı, Elif Güler PY - 2025 DA - May Y2 - 2025 DO - 10.32708/uutfd.1588827 JF - Journal of Uludağ University Medical Faculty JO - Uludağ Tıp Derg PB - Bursa Uludağ Üniversitesi WT - DergiPark SN - 1300-414X SP - 1 EP - 7 VL - 51 IS - 1 LA - tr AB - Germinal matrix kanaması-intraventriküler kanama, özellikle erken doğumların önemli bir komplikasyonu olup pretermlerde görülen beyin hasarının en sık nedenidir. Etiyolojisi karmaşık ve multifaktöriyel olup yenidoğanlarda sık görülen morbidite ve mortalite nedenlerindendir. Hastanemiz Yenidoğan Yoğun Bakım Ünitesinde doğum ağırlığı 1500 gramın ve gestasyon yaşı 32 haftanın altında doğan toplam 391 yenidoğan (n=119 prematüre germinal matrix kanaması-intraventriküler kanama, n=27 prematüre ileri evre kanama tanılı) çalışmaya dahil edilmiştir. Çalışmaya dahil edilen pretermlerin %30,4’ü germinal matrix kanaması-intraventriküler kanama, bu bebeklerin %6,9’u ileri evre kanama tanısı almıştır. Hastaların doğum ağırlığı ve gestasyon haftası azaldıkça germinal matrix kanaması-intraventriküler kanama ve ileri evre kanama riskinin anlamlı düzeyde arttığı ve mortalite üzerine olumsuz etkisi gösterilmiştir. Yenidoğan Yoğun Bakım Ünitesinde yatış süresi boyunca kanama riski olan bebekler ve eşlik eden morbideteler değerlendirilmiştir. Biz bu çalışmada ileri derece preterm bebeklerin hayatta kalma şansı arttıkça, güncel bir problem olan germinal matrix kanaması-intraventriküler kanamanın önlenmesi için riskli grupları gösterdik. 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