Retrospective evaluation of newborns with germinal matrix hemorrhage after preterm delivery

Yıl 2023, , 249 - 256, 31.12.2023

Ali Özen , Selahattin Akar

https://doi.org/10.30569/adiyamansaglik.1314039

Öz

Aim: This study aimed to evaluate the clinical course and treatment results of patients with germinal matrix hemorrhage.
Materials and Methods: Patients who have germinal matrix hemorrhage, between January 2018 and March 2020 were retrospectively analysed.
Results: A total of 66 patients were followed up due to germinal matrix hemorrhage. Thirty-four of the patients were girls and 32 were boys. Eighteen patients had stage-1, 22 stage-2, 16 stage-3 and 10 stage-4 hemorrhages. Ventricular tap was performed in 26 patients. External ventricular drainage was used in 13 patients. Ventricular reservoir, and ventriculosubgaleal shunt were used in one patient each. Eight patients underwent ventriculoperitoneal shunt surgery. Thirty-six patients died. Twenty-five patients were discharged. Five patients were referred to an external center.
Conclusions: Germinal matrix hemorrhages are common after preterm delivery and may be asymptomatic. Evaluation of these patients with transfontanel ultrasonography provides the opportunity for early diagnosis and treatment. There is no common algorithm for the treatment of these patients yet.

Anahtar Kelimeler

Preterm, Germinal matrix, Posthemorrhagic hydrocephalus

Etik Beyan

Araştırmanın etik açıdan uygunluğu için Adıyaman Üniversitesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu’ndan 15.11.2022 tarihinde 2022/8-10 karar sayısı ile etik onay alınmıştır. Araştırma süreci Helsinki Bildirgesi ilkelerine uygun olarak yürütülmüştür.

Destekleyen Kurum

Çalışmayı maddi olarak destekleyen kişi/kuruluş yoktur.

Teşekkür

Çalışmaya dahil edilen hastaların takip ve tedavisine dahil olan tüm sağlık çalışanlarına teşekkür ederiz.

Preterm doğum sonrası germinal matriks kanaması olan yenidoğanların retrospektif değerlendirilmesi

Öz

Amaç: Bu çalışmada germinal matriks kanaması olan hastaların klinik seyri ve tedavi sonuçlarını değerlendirmek amaçlanmıştır.
Gereç ve Yöntem: Ocak 2018 – Mart 2020 tarihleri arasında germinal matriks kanaması olan hastalar retrospektif olarak incelenmiştir.
Bulgular: Toplam 66 hasta germinal matriks kanaması nedeni ile takip edildi. Hastaların 34’ü kadın, 32’si erkekti. On sekiz hastanın evre-1, 22 hastanın evre-2, 16 hastanın evre-3 ve 10 hastanın evre-4 kanaması vardı. Yirmi altı hastaya ventriküler tap yapıldı. On üç hastaya eksternal ventriküler drenaj takıldı. Bir hastaya ventriküler rezervuar ve bir hastaya ventrikülosubgaleal şant takıldı. Takiplerinde sekiz hastaya ventriküloperitoneal şant takıldı. Otuz altı hasta exitus oldu. Yirmi beş hasta taburcu edildi. Beş hasta dış merkeze sevk edildi.
Sonuç: Preterm doğum sonrası germinal matriks kanamaları sık görülmekte ve asemptomatik olabilmektedir. Hastaların transfontanel ultrasonografi ile değerlendirilmeleri erken tanı ve tedavi olanağı sağlamaktadır. Bu hastaların tedavileri konusunda ortak bir algoritma henüz bulunmamaktadır.

Anahtar Kelimeler

Preterm, Germinal matriks, Posthemorajik hidrosefali

Etik Beyan

Araştırmanın etik açıdan uygunluğu için Adıyaman Üniversitesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu’ndan 15.11.2022 tarihinde 2022/8-10 karar sayısı ile etik onay alınmıştır. Araştırma süreci Helsinki Bildirgesi ilkelerine uygun olarak yürütülmüştür.

Destekleyen Kurum

Çalışmayı maddi olarak destekleyen kişi/kuruluş yoktur.

Teşekkür

Çalışmaya dahil edilen hastaların takip ve tedavisine dahil olan tüm sağlık çalışanlarına teşekkür ederiz.

Kaynakça

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