Abstract: 【Objective】 To investigate the value of fundus examination in evaluating intracranial hemorrhage(ICH) in high risk infants. 【Method】 423 cases of high-risk infants,taken head CT/MRI and fundus examination before 45 weeks corrected gestational age in our hospital,were retrospective analyzed. 【Results】 122 cases of intracranial hemorrhage,202 cases of retinal hemorrhage,109 cases(53.96%) of ICH among the cases with retinal hemorrhage (RH) and 13 cases (3.0%) of ICH among the cases without RH were compared.The difference of ICH incidence had statistical significance(P<0.01).The difference of the degree of RH with and without ICH in high risk infants had statistical significance(P<0.01).ICH and RH were closely related(R=62.02,P=0.000). 【Conclusion】 Fundus examination could be predictive of ICH in high risk infants.

Key words: high-risk, perinatal infant, newborn infant, intracranial hemorrhage, retinal hemorrhage

摘要： 【目的】 探讨眼底检查对高危儿颅内出血(intracranial hemorrhage,ICH)的预测价值。 【方法】 回顾性分析本院在矫正胎龄45周内已行头颅CT/MRI及眼底检查的423例高危儿病例。 【结果】 颅内出血122例、眼底出血202例,眼底出血高危儿202例中头颅CT/MRI证实有颅内出血109人 (53.96%),无眼底出血高危儿中颅内出血13人(3.0%),经比较差异具有统计学意义(P<0.01)。有颅内出血高危儿的眼底出血程度与无颅内出血高危儿的眼底出血程度比较,差异有统计学意义(P<0.01)。颅内出血与眼底出血两者之间密切相关(R=62.02,P=0.000)。 【结论】 高危儿行眼底检查有助于预测其颅内出血的发生。

关键词: 高危, 围产儿, 新生儿, 颅内出血, 眼底出血