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发育医学电子杂志  2025, Vol. 13 Issue (6): 401-411    DOI: 10.3969/j.issn.2095-5340.2025.06.001
  围产医学   标准·方案·指南 |新生儿 |
早产儿脑室内出血后脑室扩张/脑积水管理专家共识(2025)
中华医学会神经外科学分会小儿神经外科专业委员会  中国医师协会新生儿科医师分会外科专业委员会
Expert consensus on the management of ventricular dilatation/hydrocephalus after intraventricular hemorrhage in preterm infants (2025)
Pediatric Neurosurgery Professional Committee, Neurosurgery Branch of the Chinese Medical Association; Surgery Professional Committee, Neonatology Branch of the Chinese Medical DoctorAssociation
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摘要 【摘要】随着围产医学的发展,早产儿存活率逐渐提高,但脑室内出血(intraventricular hemorrhage,IVH)及其引发的出血后脑室扩张/脑积水(posthemorrhagic ventricular dilatation/posthemorrhagic hydrocephalus,PHVD/PHH)问题突出。IVH在早产儿中的发病率较高,重度IVH可引发多种严重并发症,影响患儿存活率和生存质量。本共识在检索国内外文献的基础上,明确了IVH分级及相关定义,从PHVD/PHH的发生情况与监测、PHVD/PHH的治疗(包括治疗阈值、治疗策略、药物治疗、暂时性手术治疗、永久性手术治疗、干细胞治疗)及PHVD/PHH的预后方面提出推荐意见,旨在为新生儿神经系统疾病相关从业人员提供理论与实践指导。
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关键词:  早产儿  脑室内出血  出血后脑室扩张  出血后脑积水  诊断  治疗    
Abstract: 【Abstract】With advances in perinatal medicine, the survival rate of preterm infants has gradually increased, however, intraventricular hemorrhage (IVH) and the resulting posthemorrhagic ventricular dilatation or hydrocephalus (PHVD/PHH) have become increasingly prominent issues. IVH occurs with relatively high incidence in preterm infants, and severe IVH can lead to various serious complications, affecting the survival rate and quality of life of the infants. Based on the review of domestic and international literatures, this consensus clarifies the grading and related definitions of IVH. It provides recommendations regarding the occurrence and monitoring of PHVD/PHH, the treatment of PHVD/PHH (including treatment threshold, treatment strategies, drug therapy, temporary surgical treatment, permanent surgical treatment, and stem cell therapy), and prognosis of PHVD/PHH, aiming to provide theoretical and practical guidance for professionals involved in neonatal neurological diseases. 
Key words:  Preterm infant    Intraventricular hemorrhage    Posthemorrhagic ventricular dilatation    Posthemorrhagic hydrocephalus    Diagnosis    Treatment
收稿日期:  2025-08-21                     发布日期:  2025-11-28     
基金资助: 国家重点研发计划项目(2021YFC2701700)
通讯作者:  Zhang Hongtian; Li Qiuping; Feng Zhichun     E-mail:  zhanghongtian007@126.com; zhjhospital@163.com;zhjfengzc@126.com)
引用本文:    
中华医学会神经外科学分会小儿神经外科专业委员会 中国医师协会新生儿科医师分会外科专业委员会. 早产儿脑室内出血后脑室扩张/脑积水管理专家共识(2025)[J]. 发育医学电子杂志, 2025, 13(6): 401-411.
Pediatric Neurosurgery Professional Committee, Neurosurgery Branch of the Chinese Medical Association, Surgery Professional Committee, Neonatology Branch of the Chinese Medical DoctorAssociation. Expert consensus on the management of ventricular dilatation/hydrocephalus after intraventricular hemorrhage in preterm infants (2025). Journal of Developmental Medicine(Electronic Version), 2025, 13(6): 401-411.
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http://www.fyyxzz.com/CN/10.3969/j.issn.2095-5340.2025.06.001  或          http://www.fyyxzz.com/CN/Y2025/V13/I6/401
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