论文部分内容阅读
目的探讨头颅CT在新生儿窒息脑损伤的诊断价值。方法回顾分析60例新生儿窒息脑损伤患儿的临床资料与头颅CT特征。结果临床表现为新生儿缺氧缺血性脑病(HIE)60例中轻度31例,中度24例,重度5例;而头颅CT表现正常者6例,异常者54例,轻度5例,中度39例,重度10例,合并颅内出血(ICH)45例,其中蛛网膜下腔出血(SAH)40例。SAH合并脑室出血(IVH)5例、脑实质出血(IPH)8例、硬膜下出血(SDH)10例,单纯硬膜下出血(SDH)6例。结论头颅CT表现与临床存在一定的差异,对HIE临床分度的判断存在不确定性,但对新生儿窒息脑损伤的诊断及判断预后有重要的价值。
Objective To investigate the diagnostic value of skull CT in neonatal asphyxia brain injury. Methods Retrospective analysis of 60 cases of neonatal asphyxia brain injury in children with clinical data and CT features. Results The clinical manifestations of neonates with hypoxic-ischemic encephalopathy (HIE) 60 cases of mild in 31 cases, moderate in 24 cases, severe in 5 cases; while the head CT showed normal in 6 cases, 54 cases of abnormal, mild in 5 cases , Moderate in 39 cases, severe in 10 cases, combined with intracranial hemorrhage (ICH) 45 cases, of which 40 cases of subarachnoid hemorrhage (SAH). SAH complicated by intraventricular hemorrhage (IVH) in 5 cases, intraparenchymal hemorrhage (IPH) in 8 cases, subdural hemorrhage (SDH) in 10 cases, simple subdural hemorrhage (SDH) in 6 cases. Conclusions There are some differences between CT manifestations and clinical manifestations. There is uncertainty in judging clinical index of HIE, but it is of great value in the diagnosis of neonatal asphyxia brain damage and prognosis.