新生儿颅内出血的CT表现分析

Intracranial hemorrhage of the newborn evaluation with CT

目的探讨新生儿颅内出血的CT表现特点。方法对42例新生儿颅内出血病人的CT表现进行分析。结果本组42例新生儿颅内出血中,蛛网膜下腔出血36例(86%);其中12例合并新生儿缺氧缺血性脑病(HIE),2例合并脑室内出血,2例合并脑实质内出血,1例合并硬膜下出血;脑室内出血3例(7%),2例合并HIE;室管膜下出血2例(4%);脑实质出血2例,1例合并脑实质出血(IPH)和HIE;硬膜下出血3例(7%),均合并头皮下血肿。结论CT检查能对新生儿颅内出血作出准确的诊断,能精确显示出血部位、程度及分型,这些改变与病因、预后有一定的关联。

[Objective] To evaluate the CT features of intracranial hemorrhage of newborn. [Method] CT findings of intracranial hemorrhage of 42 cases were analyzed. [Results] Of the 42 cases of intracranial hemorrhage, there were 36 cases with subarachnoid hemorrhage （86%）, of which there were 12 cases combinded with neonatal hypoxic-ischemic encephalopathy （HIE）, 2 cases with intraventricular hemorrhage, 2 cases with brain hemorrhage, and 1 with subdural hemorrhage;of the 3 cases of intraventricular hemorrhage （14%）, 2 combined with HIE; 2 with ependymal hemorrhage （4%）; Brain hemorrhage in 2 cases. 27 patients with intracerebral hemorrhage （IPH） and 3 cases HIE; 3 （7%） subdural hemorrhage were merged scalp hematoma. [Conclusion] CT can provide accurate diagnosis of intracranial hemorrhage, bleeding sites, extent and type can be showed accurately, Which is associated with pathogeny and prognosis.