新生儿缺氧缺血性脑病的CT表现特点及预后分析

The CT Features and the Prognosis of Hypoxic Ischemic Encephalopathy

目的:探讨新生儿缺氧缺血性脑病(HIE)的CT表现特点及其预后。方法:对58例HIE患儿进行回顾性分析研究,并分析其CT表现特点及预后。结果:本组58例HIE中,轻度20例,中度22例,重度16例。在30例合并颅内出血中,随访复查发现17例恢复正常;其他13例中,2例死亡,11例均有脑软化、脑萎缩、脑穿通畸形、脑钙化灶等不可逆性后遗症的表现。结论:不同类型的HIE,其预后不同。

Objective To discuss the CT features and the prognosis of hypoxic ischemic encephalopathy（HIE）. Methods The CT features of the HIE were analyzed and follow-up studied in 58 cases. Results Of all the 58 cases with HIE ,slight in 20 cases,middle in 22 cases,severe in 16 cases. Of the follow-up studies on 30 mixed bleeding cases,17 was normal,2 was dead, and the others were cerebromalacia, cerebral atrophy, porencephaty and calcium. Conclusion Different HIE in different prognosis.