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PREMATURITY – A RISK FACTOR FOR CEREBRAL PALSY

机译:早产–脑瘫的危险因素

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The progress made in neonatal medicine led to a better survival rate of premature newborns of smaller and smaller gestational ages, which also led to a greater risk of complications such as cerebral palsy, whose incidence is increased to 1.5-5.6 per 1,000 live births among premature infants. The risk factors associated with prematurity in producing cerebral palsy are multiple. Of these, the most common are: corioamniotitis, fetal malpresentations, birth asphyxia, periventricular leukomalacia, intracranial haemorrhage, hypoxic-ischemic lesion. The clinicaletiological forms encountered are spastic hemiplegia, spastic tetraplegia, spastic diplexia and extrapyramidal dyskinesia. Prognosis is severely affected by the presence of epilepsy, deafness, hallucinations, strabismus, mental retardation (30- 50%), attention deficit and autism. It is appreciated that 25% of patients with cerebral palsy have walking disorders. Cerebral palsy is considered a serious condition with immediate and long term sequelae that affects quality of life and social integration.
机译:新生儿医学的进步导致胎龄越来越小的早产儿的存活率提高,也导致了诸如脑瘫等并发症的更大风险,其发病率增加到每千名活产儿中1.5-5.6婴儿。与发生脑瘫早产相关的危险因素是多种的。其中最常见的是:羊膜炎,胎儿畸形,出生窒息,脑室白细胞软化,颅内出血,缺氧缺血性病变。遇到的临床病因学形式为痉挛性偏瘫,痉挛性四肢瘫痪,痉挛性双神经痛和锥体外系运动障碍。癫痫,耳聋,幻觉,斜视,智力低下(30-50%),注意力缺陷和自闭症会严重影响预后。可以理解,有25%的脑瘫患者患有步行障碍。脑性瘫痪被认为是一种严重的疾病,具有立即和长期的后遗症,影响生活质量和社会融合。

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