Bệnh võng mạc trẻ đẻ non và mối liên quan của cân nặng và tuổi thai khi sinh

luc ndi sq va biit duac gia trj ap lye nbi sp. Chuyen

g ia H6i sue C ip clpu cb th i cb nhung giai phap h&u

hifeu tro n g diiu trj d i gia tang ti 1$ s6ng, giam ti 1$ ti>

vong 6 cac bfenh nhan chin thu’O’ng sq n§o nang.

K it qua nghifen clpu cho thiy ap lyc nbi so nh6m

bfenh nhan cQ Glasgow 3-6 diem c6 ap lyc nbi so

32,78±9,63 mmHg cao han han nhbm cb Glasgow 7-

8 diim la 30,06±9,25 mmHg. Ap lyc n$i sq nhbm

bfenh nhan tu vong cb ap lyc nbi s q cao hon hin

nhbm bfenh nhan cbn s6ng sbt, diiu db cho thiy ring

ap lyc n $ i s q la mQt yiu to tifen lu ’Q’ng v i db nang cua

chin thu’O’ng sq nao nang. Khi ap lyc nQi sq cang

cao, thang diem Glasgow cang thip, tien lu’Q’ng cang

xiu [7],[11],

Nbi tbm lai, biit duac nguyfen nhan gSy tang ap

lyc nbi sq va biet duac gia trj ap lyc npi s q . Chuyfen

gia Hii sue C ip clpu cb th i cb nhu-ng giai phap huu

hifeu trong diiu trj d i gia tang ti le sing, giam ti le tu

vong & cac benh nhan chin thuang so n§o nang.

k £t l u a n

- Ap lyc nbi s q nhbm benh nhan Glasgow 3-6

diim la 32,78±9,63mmHg.

- Ap lyc n$i sq nhbm bfenh nhan Glasgow 7-8

diim la 30,06±9,25mmHg.

- Ap lyc nQi so nhbm benh nhan ti> vong la

38,15±9,57mmHg.

- Ap lyc nbi s q nhbm benh nhan sing sbt ia

25,45±6,85mmHg.

- Cb m ii tLPang quan nghjch giOa gia trj ALNS vbi

thang diim Glasgow cua bfenh nhan, r= -0,37,

p<0,05.

TAI LIEU THAM KHAO

1. Doczi T. Volume regulation of the brain tissue—a

survey. Acta Neurochir (Wien) 1993;121:1-8

2. Langfitt TW, Weinstein JD, Kassell NF. Cerebral

vasomotor paralysis produced by intracranial

hypertension. Neurology. 1965:15:622-41

3. Miller JD, Sullivan HG. Severe intracranial

hypertension. Int Anesthesiol Clin. 1979;17:19-75.

4. Welch K. The intracranial pressure in infants. J

Neurosurg. 1980;52:693-9.

5. Andrews BT, Chiles BW, III, Oslen WL, et al The

effect of intracerebral hematoma location on the risk of

brain stem compression and on clinical outcome. J

Neurosurg. 1988;69:518-22.

6. Hlatky R, Valadka A, Robertson CS. Prediction of

a response in ICP to induced hypertension using

dynamic testing of cerebral pressure autoregulation. J

Neurotrauma. 2004;21:1152.

7. Rosner MJ, Coley IB. Cerebral perfusion pressure,

intracranial pressure, and head elevation. J Neurosurg.

1986;65:636-41.

8. Gobiet W, Grote W, Bock WJ. The relation

between intracranial pressure, mean arterial pressure

and cerebral blood flow in patients with severe head

injury. Acta Neurochir (Wien) 1975;32:13-24.

9. Friedman Dl. Medication-induced intracranial

hypertension in dermatology. Am J Clin Dermatol.

2005;6:29-37.

10. Jacob S, Rajabally YA. Intracranial hypertension

induced by rofecoxib. Headache. 2005;45:75-6.

11. Digre K, Warner J. Is vitamin A implicated in the

pathophysiology of increased intracranial pressure?

Neurology. 2005;64:1827.

BENH VONG MAC TRE DE NON

VA MOI LIEN QUAN CUA CAN NANG VA TUOI THAI KHI SINH

t 6 m t At

Muc tiiu: Xac dinh ty I i binh vong mac tre dd

non (BVMTDN) tai khoa sof sinh binh viin Phu san

Tmng uong trong th&i gian tir 1/1/2003-31/12/005 vd

tim h iiu mdi liin quan cua binh v&i cin ndng va tudi

thai khi sinh.

Ddi tuyng v i phuxmg phdp: 590 tr i de non cd

cin ning khi sinh du<ri h oic bing 2000g v i tudi thai

khi sinh dir&i hoic bing 35 tu in duxyc dwa vao

nghiin ciru. T it c i tr i d iu dux?c khim m it tir 3-4

tuin sau khi sinh d i p h it h iin BVMTDN

Ket qui: 223/590 tr i bj BVMTDN v&i nhiiu mire

d£> khic nhau, chiim 37,8%. Trong sd n iy c6 142

binh nhin c in p h ii d iiu trj, chiim 24,1%. Ty l i tre bi

b$nh cin d iiu trj & nhdm cd c in n$ng khi sinh dir&i

1000g v i tudi thai khi sinh <28 tu in lin luxyt l i 77,8%

v i 100%; tir 1000 -1500g v i tir 28 -31 tuin l i 30,5%

v i 40,7%; >1500g v i >31 tu in l i 11,9% v i 11,5%.

Ket lu$n: Ty 10 binh nhin bj BVMTDN & khoa so

NGUYiN XUAN TjNH, NGUYEN VAN HUY

Khoa Mat tre em, benh vien Mat Trung uxmg

sinh binh viin phu s in trung uxyng l i 37,8%, ty I i

cin dieu tri la 24,1%. BVMTDN c& liin quan c h it che

v&i cin ning v i tudi thai khi sinh.

Tir khoa: Benh vdng mac, tr i de non.

SUMMARY

Purpose: Identify prevalence of Retinopathy of

prematurity (ROP) at neonatal department of National

hospital of Obstethcs and Gynaecology from 1st Jan,

2003 - 31s1 Dec, 2005 and find out the relationship

between ROP and birth weight (BW) and gestation

age (GA).

Patients and method: 590 preterm babies less

than or equal 2000g BW and 35 weeks GA was

included. All babies were screened ROP at 3-4 weeks

after birth.

Results: 223/590 babies had ROP, account for

37.8%. Among them 142 babies needed treatment,

account for 24.1%. Rate of babies who need

treatment in the group of BW less than 1000g and GA

Y HQC TH^TC HANH (905) - S 6 2/2014 25