新生儿缺氧缺血性脑病CT表现对预后的评估

CT feature and evaluation hypoxic-ischemic encephalopathy in neonates

目的研究新生儿缺氧缺血性脑病(HIE)的CT表现对其预后的评估。方法对62例HIE患儿进行了CT检查,分析CT表现。结果62例新生儿期检查中脑水肿38例,蛛网膜下腔出血16例,硬膜外血肿4例,腔室出血2例;婴儿期6个月、12个月复查者中,脑室扩大12例,脑外间隙增宽16例,脑室旁软化灶2例。结论CT扫描有助于明确HIE的脑损伤情况,对于预后的评估有价值。

Objective To study CT feature of hypoxic-ischemic encephapathy in neonates and its value in predicting prognosis. Methods CT scanning was performed in 62 cases with HIE. CT feafure were analyzed. Results Of 62 cases during their neonatal period, brain edema was seen in 38 the lower density＇ s lesions of subcortical with matter in 42, cerebral hemorrhage in 8 ,subaraehnoid space hemorrhage in 16, SDH in 4, and intraventricular hemorrhage in 2. Of 8 cases during their infants period CT scanning at 6,12 months, dilaled ventricle was seen in 6, increased extracerebral space in 8, and periventricalar leukomalacia in 2. Conclusion CT scaning is helpful for evaluating brain injury and predicting prognosis in neonates with HIE.