Patient's question:
First supplementary question in the first month: The main complaint for admission was a weak cry and pale complexion for 2 hours. G1P1, gestational age 40+6 weeks, delivered via cesarean section due to amniotic fluid turbidity indicating fetal distress. Birth weight was 4 kg, with Apgar scores of 10 at birth. At 2 hours after birth, the baby exhibited a weak cry, poor responsiveness, and a pale complexion. Head ultrasound revealed left ependymal hemorrhage, a small hemorrhagic infarct near the anterior horn (intrauterine occurrence), and signs of vascular damage in the left thalamic basal ganglia. Treatment with Stimula was added for 2 weeks. At the time of the 1-month follow-up, the follow-up ultrasound showed that the small hemorrhagic infarct near the anterior horn persisted, and there was still a small amount of residual bleeding in the left ependyma without reabsorption.Doctor's answer:
Subarachnoid hemorrhage in the left ventricle, not in the brain parenchyma, minimal impact, can be monitored, will gradually absorb. Ultrasound shows no ventricular enlargement in both hemispheres, normal ventricular width less than 10mm. Stretching hard is normal, observe the impact on the head. Monitor limb movement, complexion, eye movement, and mental state is good, minimal impact. Spitting up is common in newborns, usually not projectile, generally physiological vomiting due to underdeveloped upper stomach sphincter, will improve with time. Keep the baby lying sideways to prevent choking from spitting up. Phenylalanine 1.67 can be rechecked, lab tests may have errors.