摘要
目的 通过对160例经临床确诊的缺血缺氧性脑病（HIE）新生儿CT表现进行分析，正确认识CT诊断HIE的作用，以指导临床治疗及愈后评估。方法 对160例HIE病儿进行颅脑CT检查，初次检查时间为生后1～7d。其中78例进行了CT复查。结果 本组160例HIE新生儿中，CT表现轻度异常80例，中度异常61例，重度异常19例。HIE病儿CT上主要为脑水肿改变，多为双侧性，脑实质内出现局限或广泛低密度灶，并发颅内出血比较常见，本组共124例。78例CT复查病儿，初查轻度异常的28例复查有1例异常；中度异常的31例复查有27例异常；重度异常19例复查均表现异常。结论 CT检查对HIE的诊断有较大作用，对其临床治疗及预后判断有重要价值。
Objective To analyze the CT feature of hypoxic-ischemic encephalopathy （HIE） in 160 neonates, in order to assess the value of CT in the diagnosis of HIE and to guide its therapy and to predict its prognosis. Methods CT scans were performed in 160 neonates with HIE. The initial CT scanning was performed within 1-7 days after birth. Of whom, 78 underwent CT reexamination. Results CT findings were as follows： mildly abnormal, 80 cases; moderately, 61; severely, 19. The main CT feature in 124 cases was cerebral edema, mostly bilateral, with localized or extensive low density loci and intracranial hemorrhage. The findings of those received CT recheck were： one was abnormal in 28 mild cases; 27 abnormal in 31 moderate cases, and all severe cases were abnormal. Conclusion CT scan is of relatively important in the diagnosis, treatment and prediction of the prognosis of HIE.
出处
《齐鲁医学杂志》
2007年第2期161-162,共2页
Medical Journal of Qilu
关键词
缺氧缺血
脑
婴儿
新生
体层摄影术
X线计算机
诊断
hypoxia-ischemia, brain
infant, newborn
tomography, X-ray computed
diagnosis
