新生儿缺氧缺血性脑病的临床与CT诊断

The CT diagnosis and clinical analysis of HIE of the newborn

目的:研究分析新生儿缺氧缺血性脑病的各种CT征象与临床关系。方法:分析58例缺氧缺血性脑病患儿的CT表现,参照诊断标准,以病变累及程度将脑损伤程度进行CT分度、临床分度。结果:累及2个以下脑叶轻度损伤19例(32·7%);累及3个以上脑叶中度损伤26例(44·8%);重度损伤累及全脑叶并伴颅内出血13例(22·4%);蛛网膜下腔出血41例(70·6%);脑实质内出血5例(8·6%)。结论:CT能客观的显示脑组织受损的程度,有助于指导临床治疗。

Objective：To search and analyse the CT changes and clinical manifestations of HIE of the neobom. Methods：Among 58 cases of HIE, CT findings and clinical manifestations were analysed by the degree of the injury of brain. Results：In this group, 19 cases （32.7%） had the injury concerned with no more than 2 cerebral lobes, 26 cases （44.8%） had the injury concerned with more than 3 cerebral lobes, 13 cases （22.4%） had the injury concerned with the whole cerebral lobes, accompanied with subarachnoid hemorrhage and intracerebral hemorrhage, 41 cases （70.6%） had subarachnoid hemorrhage, 5 eases （8.6%） had intracerebral hemorrhage. Conclusion： CT findings can truly display the degree of the injury of brain, and this is beneficial for clinical therapy and prognosis estimation.