新生儿视网膜出血_Chinese Journal of Ocular Fundus Diseases

Authors：

杨宇 , 李梓敬 ,  丁小燕

510060 广州, 中山大学中山眼科中心眼科学国家重点实验室;

Corresponding author：

丁小燕, Email: dingxy75@gmail.com

Keywords：

视网膜出血/病因学; 视网膜出血/诊断; 视网膜出血/治疗; 综述

DOI：

10.3760/cma.j.issn.1005-1015.2014.01.032

Video：

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新生儿视网膜出血(RH)是指新生儿在出生1个月内发生的RH。其发生可能与分娩方式、孕母患病及胎儿疾病等因素有关。经阴道分娩引起的胎头受压以及胎头急速下降引起的压力急剧变化可能是其发生的重要原因。多表现为双眼出血。出血常位于视网膜后极部,以浅层出血为主。出血形态可以是点状、线状及火焰状。通常病情较轻,预后较好,出血可于2周内完全吸收,目前认为尚无需治疗。少数严重出血或黄斑、玻璃体积血吸收缓慢,可能影响患儿视功能发育,导致弱视发生。对新生儿RH与儿童弱视之间的关系、新生儿RH是否需要干预以及如何干预,是今后新生儿RH研究的方向。

Citation： 杨宇, 李梓敬, 丁小燕. 新生儿视网膜出血. Chinese Journal of Ocular Fundus Diseases, 2014, 30(1): 109-111. doi: 10.3760/cma.j.issn.1005-1015.2014.01.032 Copy

1.	Schoenfeld A, Buckman G, Nissenkorn I, et al. Retinal hemorrhages in the newborn following labor induced by oxytocin or dinoprostone[J]. Arch Ophthalmol,1985,103:932-934.
2.	茶国铭,赵丽娟,田孟国.妊娠高血压综合征头位顺产新生儿91例眼底检查[J].中华眼底病杂志,2000,16:16.
3.	Hughes LA, May K, Talbot JF, et al. Incidence, distribution, and duration of birth-related retinal hemorrhages:a prospective study[J]. J AAPOS,2006,10:102-106.
4.	Choi YJ, Jung MS, Kim SY. Retinal hemorrhage associated with perinatal distress in newborns[J]. Korean J Ophthalmol,2011,25:311-316.
5.	Chen LN, He XP, Huang LP. A survey of high risk factors affecting retinopathy in full-term infants in China[J]. Int J Ophthalmol,2012,5:177-180.
6.	Emerson MV, Pieramici DJ, Stoessel KM, et al. Incidence and rate of disappearance of retinal hemorrhage in newborns[J]. Ophthalmology,2001,108:36-39.
7.	Li LH, Li N, Zhao JY, et al. Findings of perinatal ocular examination performed on 3573, healthy full-term newborns[J]. Br J Ophthalmol,2013,97:588-591.
8.	Giles CL. Retinal hemorrhages in the newborn[J]. Am J Ophthalmol,1960,49:1005-1011.
9.	袁牧之,楚白丽.新生儿视网膜出血与分娩方式的关系[J].广西医科大学学报,1999,16:398.
10.	金涵,王利宏.600例新生儿眼底检查结果分析[J].中国实用眼科杂志,2005,23:1335-1336.
11.	戴追,陈玲玲,陈建威.175例新生儿视网膜出血的临床观察[J].中国临床医学,2002,9:607.
12.	朱丽芹.新生儿视网膜出血的相关因素分析[J].中国儿童保健杂志,2006,14:297-298.
13.	王平,陶利娟,杨慧玲,等.1069例新生儿眼底检查结果及分析[J].中国实用眼科杂志,2007,25:1117-1119.
14.	殷纳新,袁进,陈家祺,等.新生儿视网膜出血广域数字化眼底成像系统分析[J].中国实用眼科杂志,2013,31:191-193.
15.	吴丽燕,郭梁.正常新生儿视网膜出血临床探讨[J].广州医药,2008,39:47-49.
16.	Watts P, Maguire S, Kwok T, et al. Newborn retinal hemorrhages:a systematic review[J]. J AAPOS,2013,17:70-78.
17.	刘凤茹,杨淑华,赵忠桢.新生儿视网膜出血的多因素分析及预后的追踪观察[J].天津医药,2001,29:717-718.
18.	毛剑波,李丽红,李娜,等.新生儿视网膜出血的发生情况及其影响因素[J].中华眼视光学与视觉科学杂志,2012,14:148-152.
19.	Squier W. The "Shaken Baby" syndrome:pathology and mechanisms[J]. Acta Neuropathol,2011,122:519-542.
20.	Egge K, Lyng G, Maltau JM. Effect of instrumental delivery on the frequency and severity of retinal hemorrhages in the newborn[J]. Acta Obstet Gynecol Scand,1981,60:153-155.
21.	Williams MC, Knuppel RA, O'Brien WF, et al. Obstetric correlates of neonatal retinal hemorrhage[J]. Obstet Gynecol,1993,81:688-694.
22.	潘建东,黄崇斌,陈峰,等.新生儿视网膜出血及其相关影响因素观察分析[J].中华眼底病杂志,2013,29:280-283.
23.	杨君,杨华,王保君,等.妊高征患者新生儿视网膜出血的多因素分析及其预后[J].中国妇幼保健,2008,23:3126-3127.
24.	Lonergan GJ, Baker AM, Morey MK, et al. From the archives of the AFIP:child abuse:radiologic-pathologic correlation[J]. Radiographics,2003,23:811-845.
25.	Wygnanski-Jaffe T, Morad Y, Levin AV. Pathology of retinal hemorrhage in abusive head trauma[J]. Forensic Sci Med Pathol,2009,5:291-297.
26.	Kaur B, Taylor D. Fundus hemorrhages in infancy[J]. Surv Ophthalmol,1992,37:1-17.
27.	李慧荣,朱晓飞,魏晓晔.婴儿摇荡综合征3例分析[J].内蒙古中医药,2011,30:177.
28.	邹明,张军军.视网膜前出血和内界膜下出血[J].中华眼底病杂志,2012,28:82-83.
29.	文峰,张雄泽.提高对视网膜出血的分类及临床意义的认识[J].眼科,2009,18:221-224.
30.	Zwaan J, Cardenas R, O'Connor PS. Long-term outcome of neonatal macular hemorrhage[J]. J Pediatr Ophthalmol Strabismus,1997,34:286-288.

1. Schoenfeld A, Buckman G, Nissenkorn I, et al. Retinal hemorrhages in the newborn following labor induced by oxytocin or dinoprostone[J]. Arch Ophthalmol,1985,103:932-934.
2. 茶国铭,赵丽娟,田孟国.妊娠高血压综合征头位顺产新生儿91例眼底检查[J].中华眼底病杂志,2000,16:16.
3. Hughes LA, May K, Talbot JF, et al. Incidence, distribution, and duration of birth-related retinal hemorrhages:a prospective study[J]. J AAPOS,2006,10:102-106.
4. Choi YJ, Jung MS, Kim SY. Retinal hemorrhage associated with perinatal distress in newborns[J]. Korean J Ophthalmol,2011,25:311-316.
5. Chen LN, He XP, Huang LP. A survey of high risk factors affecting retinopathy in full-term infants in China[J]. Int J Ophthalmol,2012,5:177-180.
6. Emerson MV, Pieramici DJ, Stoessel KM, et al. Incidence and rate of disappearance of retinal hemorrhage in newborns[J]. Ophthalmology,2001,108:36-39.
7. Li LH, Li N, Zhao JY, et al. Findings of perinatal ocular examination performed on 3573, healthy full-term newborns[J]. Br J Ophthalmol,2013,97:588-591.
8. Giles CL. Retinal hemorrhages in the newborn[J]. Am J Ophthalmol,1960,49:1005-1011.
9. 袁牧之,楚白丽.新生儿视网膜出血与分娩方式的关系[J].广西医科大学学报,1999,16:398.
10. 金涵,王利宏.600例新生儿眼底检查结果分析[J].中国实用眼科杂志,2005,23:1335-1336.
11. 戴追,陈玲玲,陈建威.175例新生儿视网膜出血的临床观察[J].中国临床医学,2002,9:607.
12. 朱丽芹.新生儿视网膜出血的相关因素分析[J].中国儿童保健杂志,2006,14:297-298.
13. 王平,陶利娟,杨慧玲,等.1069例新生儿眼底检查结果及分析[J].中国实用眼科杂志,2007,25:1117-1119.
14. 殷纳新,袁进,陈家祺,等.新生儿视网膜出血广域数字化眼底成像系统分析[J].中国实用眼科杂志,2013,31:191-193.
15. 吴丽燕,郭梁.正常新生儿视网膜出血临床探讨[J].广州医药,2008,39:47-49.
16. Watts P, Maguire S, Kwok T, et al. Newborn retinal hemorrhages:a systematic review[J]. J AAPOS,2013,17:70-78.
17. 刘凤茹,杨淑华,赵忠桢.新生儿视网膜出血的多因素分析及预后的追踪观察[J].天津医药,2001,29:717-718.
18. 毛剑波,李丽红,李娜,等.新生儿视网膜出血的发生情况及其影响因素[J].中华眼视光学与视觉科学杂志,2012,14:148-152.
19. Squier W. The "Shaken Baby" syndrome:pathology and mechanisms[J]. Acta Neuropathol,2011,122:519-542.
20. Egge K, Lyng G, Maltau JM. Effect of instrumental delivery on the frequency and severity of retinal hemorrhages in the newborn[J]. Acta Obstet Gynecol Scand,1981,60:153-155.
21. Williams MC, Knuppel RA, O'Brien WF, et al. Obstetric correlates of neonatal retinal hemorrhage[J]. Obstet Gynecol,1993,81:688-694.
22. 潘建东,黄崇斌,陈峰,等.新生儿视网膜出血及其相关影响因素观察分析[J].中华眼底病杂志,2013,29:280-283.
23. 杨君,杨华,王保君,等.妊高征患者新生儿视网膜出血的多因素分析及其预后[J].中国妇幼保健,2008,23:3126-3127.
24. Lonergan GJ, Baker AM, Morey MK, et al. From the archives of the AFIP:child abuse:radiologic-pathologic correlation[J]. Radiographics,2003,23:811-845.
25. Wygnanski-Jaffe T, Morad Y, Levin AV. Pathology of retinal hemorrhage in abusive head trauma[J]. Forensic Sci Med Pathol,2009,5:291-297.
26. Kaur B, Taylor D. Fundus hemorrhages in infancy[J]. Surv Ophthalmol,1992,37:1-17.
27. 李慧荣,朱晓飞,魏晓晔.婴儿摇荡综合征3例分析[J].内蒙古中医药,2011,30:177.
28. 邹明,张军军.视网膜前出血和内界膜下出血[J].中华眼底病杂志,2012,28:82-83.
29. 文峰,张雄泽.提高对视网膜出血的分类及临床意义的认识[J].眼科,2009,18:221-224.
30. Zwaan J, Cardenas R, O'Connor PS. Long-term outcome of neonatal macular hemorrhage[J]. J Pediatr Ophthalmol Strabismus,1997,34:286-288.

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