新生儿脑损伤与外部性脑积水关系研究

Study of the relationship of external hydrocephl with brain-injure in the neonate

目的探讨新生儿脑损伤与外部性脑积水之间的关系。方法通过对68例新生儿脑损伤患者的定期头部CT检查和临床观察,了解新生儿脑损伤后脑组织的变化,分析其与外部性脑积水(EH)之间的关系。结果新生儿缺氧缺血性脑病36例,发生EH 19例,具有神经系统症状6例;蛛网膜下腔出血22例,发生EH 15例,具有神经系统症状3例;颅内出血8例,发生EH 3例,具有神经系统症状3例。结论新生儿脑损伤均可能出现EH,且不同病因脑损伤的EH发生率无差异,但不同病因导致的外部性脑积水预后不同。

Objective To investigate the relationship of external hydrocephl（EH） with brain-injure in the neonate. Methods By performing on the patients with brain-injure with CT and making the clinical study, the change of brain following injure and its relationship with EH were analyzed. Results Hypoxic-ischemic encephalopathy（HIE） were 36 cases,EH were 19 in the cases, 6 get the cerebrospinal symptom; SAH were 22 cases, EH were 15 in the cases, 3 get the cerebrospinal symptom; Intracranial hemorrhage were 8 cases, EH were 3 in the cases,3 got the cerebrospinal symptom. Conclusion All the kinds of brain-injure can get EH and the rate of EH with any brain-injure is no different. But the outcome is significantly different.