新生儿缺氧缺血性脑病的CT诊断

CT diagnosis of hypoxic ischemic encephalopathy in neonatal

目的总结新生儿缺氧缺血性脑病(HIE)的CT表现特点。方法137例HIE病例进行CT检查,对病变的部位、大小、形态、密度等方面进行总结分析。结果137例HIE病例中,轻度79例,中度43例,重度15例。CT主要表现为脑内大小和数目不等的低密度影、皮髓质分界模糊或消失等。结论HIE有比较特征性的CT表现,不同时期的病变位置、形态和密度都有不同的表现和变化,对指导临床治疗和判断预后有积极意义。

Objective To evaluate the CT demonstration features of hypoxic ischemic encephalopathy （HIE） in neonatal. Methods 137 cases of neonatal HIE were examined by CT and the lesions feature of CT including the lesions location, size, shape and density were analyzed. Results Among the 137 cases, 79 cases revealed slight degree,43 cases showed meddle degree,and 15 cases were severe degree. The CT scan showed intracerebral low density lesions and hazy margin between gray and white matter. Conclusion There are some special demonstration features of HIE on CT scan and it is helpful to clinical treatment and prediction.