小儿脑萎缩的CT分析

CT Analysis of Cerebral Atrophy in Children

目的探讨分析小儿不同程度脑组织损伤后脑萎缩的CT表现。方法搜集郑州市某医院46例不同程度脑组织损伤后脑萎缩患儿的临床及CT资料进行分析。结果46例中,弥漫性脑萎缩15例,局限性脑萎缩31例,周围性脑萎缩19例,中心性脑萎缩27例;患儿所患疾病,新生儿HIE 19例,先天性宫内感染(TORCH)10例,病毒性脑炎5例,迟发Vk缺乏脑实质出血3例,脑血管畸形4例,脑外伤脑实质出血3例,营养不良及不正确使用脱水剂和大量使用类固醇药物的患儿2例。结论脑萎缩是小儿脑组织损伤后常见的脑部表现,只要通过对CT征像仔细对比分析并严密结合临床病史资料,就不会发生误诊漏诊现象延误治疗。

Objective To analyse CT image of cerebral atrophy after brain impairment in children. Methods To collect and analyze the clinical and CT data of 46 children with different degree cerebral atrophy after brain impairment in a hospital of Zhengzhou. Results Through the CT image ,in all the cases, there are 15 cases of diffuse cerebral atrophy ,31cases of circumscribed cerebral atrophy, 19 cases of peripheral cerebral atrophy and 27 cases of central cerebral atrophy. From the clinical data, 19 cases are HIE of newborn, 10 cases are sequelae of congenital intrauterine infection ,5 cases are diagnosed as viral encephalitis, Hemorrhage due to delayed HDN and cerebral trauma each are 3 cases, 4 cases are cerebral vasculer malformation and 2 cases are caused by others. Conclusion Cerebral atrophy is a frequent CT image after brain injured in children. Misdiagnosis and missed diagnosis would not happen by carefully analysing the CT image and the clinical data.