摘要
CT应用之前,新生儿缺氧、缺血性脑病的诊断主要依据临床症状及体征,判断是否合并颅内出血,常需做脑脊液穿刺等创伤性检查,且对预后较难判断.CT扫描能直接显示新生儿颅内情况.本文就78例新生儿缺氧、缺血性脑病的临床及CT表现进行分析,旨在提高对本病认识.1 材料与方法收集1989年3月～1995年3月在我院儿科住院并经临床及CT诊断为新生儿缺氧、缺血性脑病78例.男55例,女23例,首次CT检查自出生6小时～30天不等,平均5.2天.22例患儿行第2次CT扫描,距首次扫描时间平均35天;第3次CT检查共7例,均在发病1年以后.CT扫描采用德国西门子Somatom CR型CT机。
The clinical and CT imaging features of 78 newborn with hypoxic ischemic encephalopathy (HIE) were reported and the etiology and pathology of HIE also analysed the results showed that it was possible for the accurate diagnosis,correct classification and predictive outcome of HIE to be made by CT scan.
关键词
新生儿
缺氧缺血性脑病
CT
临床
Hypoxia Ischemic Encephal-opathy, Clinical Feature, CT
