Üçüncü Düzey Bir Ünitede Germinal Matriks-İntraventriküler Kanama Tanısı Alan Pretermlerin İncelenmesi: 4 Yıllık Deneyim

Yıl 2025, Cilt: 51 Sayı: 1, 1 - 7, 27.05.2025

Ezgi Deniz Açar Çelik , İpek Güney Varal , Pelin Doğan , Elif Güler Kazancı

https://doi.org/10.32708/uutfd.1588827

Öz

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.

Anahtar Kelimeler

germinal matriks kanaması-intraventriküler kanama , prematürite , risk faktörleri.

Investigation of Preterms Diagnosed with Germinal Matrix Hemorrhage-Intraventricular Haemorrhage in the Third Level Intensive Care Unit: 4-Years Experience

Öz

Germinal matriks hemorrahage-intraventricular hemorrhage is an serious complication of premature births and is the most common cause of brain damage in preterm babies. The etiology of germinal matrix hemorrhage and intraventricular hemorrhage is complex and multifactorial. Germinal matriks hemorrahage-intraventricular hemorrhage are common causes of morbidity and mortality in neonates. A total of 391 neonates (n=119 preterms with germinal matrix hemorrhage and intraventricular hemorrhage, n=27 preterms with high grade hemorrhage with born in the our Neonatal Intensive Care Unit, birth weight <1500 grams and <32 weeks of gestation were included in the study. Of the included infants, 30.4% had germinal matrix hemorrhage and intraventricular hemorrhage, and 6.9% of germinal matriks hemorrahage-intraventricular hemorrhage diagnosed infants had high grade hemorrhage. Germinal matriks hemorrahage-intraventricular hemorrhage were found to be higher in premature babies with gestational week and birth weight decreased. At risk of germinal matriks hemorrahage-intraventricular hemorrhage and the clinical morbidities they experienced were evaluated during their stay in the Neonatal Intensive Care Unit. In this study, we demonstrated the risk groups for the prevention of germinal matriks hemorrahage-intraventricular hemorrhage, which is a current problem as the chance of survival of severe preterm infants increases.

Anahtar Kelimeler

germinal matrix hemorrhage-intraventricular hemorrhage , prematurity , risk factors.

Kaynakça

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