新生儿缺氧缺血性脑病的CT诊断

Neonatal Hypoxic Ischemic Encephalopathy CT Diagnosis

目的:探讨新生儿缺氧缺血性脑病的CT表现。材料与方法:回顾性分析67例临床HIE的患儿CT表现和程度及合并颅内出血的类型。结果:轻度21例,中度39例,重度7例,合并出血27例。CT主要表现为脑水肿及颅内出血,轻度HIE患者病变常累及1-2个脑叶,以额顶叶多见;而中、重度者灰白质均受累且常伴有蛛网膜下腔出血、侧脑室内出血或脑实质内出血及硬膜下出血等。结论:CT检查为HIE患儿临床提供诊断依据及分度,并指导临床治疗。

Purpose:To investigate the hypoxic ischemic encephalopathy CT.Materials and Methods:Retrospective analysis of 67 cases of clinical and CT findings in children with HIE,the extent and type of intracranial hemorrhage.Results:of 21 mild cases,moderate in 39 cases,severe in 7 cases,hemorrhage in 27 cases.CT showed cerebral edema and primary intracranial hemorrhage,mild HIE patients with lesions often involving one or two cerebral lobes,the frontal and parietal lobes more common;and moderate to severe gray matter are involved and who often accompanied by subarachnoid hemorrhage,ventricle hemorrhage or parenchymal hemorrhage and subdural hemorrhage.Conclusion:CT scan findings in children with clinical diagnosis of HIE based and sub-degree,and to guide clinical treatment.