番离市新生儿缺氧缺血性脑病伴颅内出血118例临床分析

Clinical analysis of neonatal hypoxic ischemic en- cephalopathy associated with intracranial hemorrhage in 118 cases.

本文分析了我市118例经临床及CT确诊的缺氧缺血性脑病(HIE)伴颅内出血(ICH)新生儿的病因、临床表现、治疗及预后随访情况.认为在HIE伴ICH病儿中缺氧为主要发病因素,常有产伤因素并存.HIE伴ICH中以蛛网膜下腔出血最为多见.患儿神经系统表现轻重不一,常合并有呼吸系统症状.在急性期加强监护,降颅压及镇静止惊,应用脑细胞活性药物.恢复期予以康复治疗.坚持随访,早期发现并治疗后遗症.可望提高治愈率,改善预后.

The causes, clinical manifestations, treatments, prognosis and follow up results of neonatan, hypoxic ischimic encephalopathy (HIE)associeated with intracranial hemorrhage (ICH ) in 118 cases were analysed. The authors suggested that the hy-poxia was the main factor of neonatal HIE with ICH, and often coexistence with laboural trauma factor. Subarachnoidal hemorrhage (SAH) was the most common fealure in the HIE with ICH. The manifestations of nervors system were variable , and often complicated with respiratory symptoms.Taking the following measures might be hi-gyten the cure rate and improving the prognosis:in acute stage, intensive care, depressing the intracranial pressure, taking sedatives, privent con-volsion and using brain cell active drugs; in the convalescence, taking rehabilition, insistent follow up, early detecting and treat the sequelae.