超声诊断新生儿肾上腺血肿的实用性研究
冷丽丽，张海春，黄苑铭，李文娟，周苏晋
（1.广东省第二人民医院，广东 广州，510317；2. 广东省妇幼保健院，广东 广州，510010）
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摘要：
目的 探讨超声检查在新生儿肾上腺血肿疾病诊断中的价值。方法 回顾性分析从2010年接诊并确诊为肾上腺血肿的 新生儿临床资料包括胎位、Apgar 评分、产式、孕周、临床指标、母亲孕期孕检情况、超声诊断、治疗方法及转归。结果 所有的 16例病例均经过经腹部超声检查确诊为肾上腺血肿，发生在左侧有2例，发生在右侧有14例，3例同时合并有同侧阴囊肿胀青紫。结论 超声因无创、便捷、可反复多次进行，对新生儿肾上腺血肿检查及转归随访有很好的实用性。
关键词：超声诊断；新生儿；肾上腺血肿；阴囊肿胀
中图分类号：R445.1文献标志码：A文章编号：2096-1413(2017)01-0139-02
Research the practicability of ultrasound diagnosis in neonatal adrenal hematoma
LENG Li-li 1, ZHANG Hai-chun 1, HUANG Yuan-ming 2, LI Wen-juan 1, ZHOU Su-jin 1
(1. Guangdong No. 2 Provincial People s Hospital, Guangzhou 510317; 2. Maternal and Child Care Service Centre of
Guangdong Province, Guangzhou 510010, China)
ABSTRACT: Objective To explore the value of ultrasound diagnosis in neonatal adrenal hematoma. Methods The clinical datas of newborn infants who were diagnosed with adrenal hematoma from 2010 were reviewed retrospectively, including fetal position, Apgar score, labor presentation, gestational age, clinical index, pregnant testing, ultrasound diagnosis, treatment and prognosis. Results All of 16 cases were diagnosed with adrenal hematoma with abdominal ultrasound, 2 cases occurred on the left side, 14 cases on the right side, 3 cases complicated scrotal swelling with bluish discoloration. Conclusion Ultrasonography is non -invasive, convenient and repeated, which has good practicality in examining and judging prognosis of neonatal adrenal hemorrhage.
KEYWORDS: ultrasound diagnosis; neonatal adrenal hematoma; adrenal hemorrhage; scrotal swelling
参考文献：
[1] LAI LJ,CHEN LM,CHU PY,et al.Neonatal adrenal hemorrhage associated with scrotal hematoma: an unusual case report and literature review[J].Pediatr Neonatol,2012,53(3):210-212.
[2] KANG SL,MUKHERJEE S,SASHIKUMAR P,et al.Neonatal adrenal haemorrhage presenting as scrotal haematoma [J].Arch Dis Child Fetal Neonatal Ed,2011,96(2):F92.
[3] OULMAATI A,HAYS S,MORY -THOMAS N,et al.Neonatal adrenal hemorrhage revealed by jaundice: a case report[J].Arch Pediatr,2012,19 (4):429-431.
[4] DEMIREL N,BAS AY,ZENCIROGLU A,et al.Adrenal bleeding in neonates: report of 37 cases[J].Turk J Pediatr,2011,53(1):43-47.
[5] SINGH J,DALAL P,BHALLA K,et al.Neonatal adrenal hemorrhage presenting as prolonged hyperbilirubinemia [J].J Neonatal Surg,2016,5 (2):22.
[6] YARCI E,ARAYICI S,SARI FN,et al.Hemorragia suprarrenal quese manifiesta como hematoma escrotal en el recin nacido. A propsito de un caso[J].Arch Argent Pediatr,2015,113(3):e161-e163.
[7] SHIN SI,YOO JG,PARK IY,et al.Prenatal diagnosis of fetal adrenal hemorrhage and endocrinologic evaluation[J].Obstet Gynecol Sci,2016,59 (3):238-240.