西宁地区新生儿蛛网膜下腔出血的CT诊断(附200例报告)

CT Diagnosis and Differential Diagnosis of Neonatal Subaracenoid at High Altitude (A Report of 200 Cases)

目的 :讨论西宁地区 (海拔 2 2 6 0m )新生儿蛛网膜下腔出血的诊断与鉴别诊断。方法 :高海拨地区 4 10例新生儿头颅CT扫描 ,对其表现进行分析。结果 :蛛网膜下腔出血 2 0 0例、新生生儿缺氧缺血性脑病 192例 ,脑实质内出血 6例、脑室内出血 8例、硬膜外及硬膜下出血各 1例、其他 2例。结论 :CT对蛛网膜下腔出血能清楚显示其出血部位、范围及程度 ,对患儿损伤小。

Objective:To evaluate the differential diagnosis of CT scans in neonatal subarachuoid hemorrhage. Methods: CT scan of skull was performed in 410 newborns and a retrospective analysis was made.Results: The subarachnoid hemorrhage, the neonatal anoxic and ischemic encephalopathy, the cerebral parenchymal hemorrhage, the hemorrhage in venticles of brain, etradural and subdural hemorrhage was 200, 190, 6, 8 and 1 case separately. Conclusions: CT can accurately display the location and extent of the lesion. It is safe, less harmful and painless for newborn.