CT检查在新生儿缺氧缺血性脑病中的临床应用

Clinical application of CT examination to neonates with HIE

目的:分析新生儿缺氧缺血性脑病(HIE)的CT表现特点、预后情况及其应用价值。方法:回顾性分析132例HIE的CT表现,重点观察脑水肿、脑出血、及脑梗塞的CT征象。结果:132例临床诊断为HIE中有118例有异常CT表现,14例无异常CT表现。脑白质低密度区CT值小于18者118例,占90%。低密度区范围扩大者106例,占80%。脑室内出血7例,占5%。蛛网膜下腔出血者36例,占27%。脑梗塞1例,约占1%。3周至1年后复查36例,12例有异常CT表现,主要以外部性脑积水表现为主。部分有脑软化、脑萎缩的CT表现。1例有脑瘫表现。结论:CT检查对HIE的诊断具有很高的准确性,对临床的治疗及预后可提供真实而客观的依据有重要意义。

Objective：To analyse CT features, the situation after treatment and the practical value of neonates with HIE. Methods： Analysis the CT features of 132 cases with HIE retrospectively, focus on the CT signs of encephaie edema and brain infarct. Results：Of 132 cases, 118 were abnormal, only 14 normal. CT value of 130 cases 〈 18, white matter in the low density parts, is 98% ; 113 of them, 86%, the low density parts were larged; Bleeding in the brain chamber, 7 cases, 5% ; 36 of them were bleeding in lower cavity of arachnoid, the rate hospital for a check within 3 weeks or one year; 12 of them were abnormal. The leading symptoms were outer eneephal edema. Some of them proved brain soften and atrophy. Conclusion：It is nicely and truly to cheek HIE with CT and also very necessary for treatment.