CT在新生儿缺血缺氧性脑病诊断中的价值意义

Value of CT in the Teonatal Diagnosis of Hypoxic Ischemic Encephalopathy

目的探讨新生儿缺氧缺血性脑病(HIE)CT诊断价值和鉴别诊断及对预后的评估。方法回顾性分析30例新生儿缺氧缺血性脑病的临床资料和CT表现并且进行分析讨论。结果根据病情的程度不同表现为脑实质密度减低,灰白分界模糊,脑池脑沟变浅及颅内出血。CT对HIE敏感性高,是首选的影像学检查,其诊断对治疗和预后评估有很高的应用价值。结论CT能对新生儿缺血缺氧性脑病作出早期诊断和分度,能对颅内出血作出定性、定量诊断,对临床诊断治疗提供了很大的帮助,同时对判断病情的轻重及预后评估有重要价值。

Objective Explore the neonatal hypoxic-ischemic encephalopathy （HIE） CT diagnosis and differential diagnosis value and the assessment of prognosis. Methods Retrospective analysis of 30 cases of neonatal hypoxic-ischemic encephalopathy and the clinical data and CT analysis of the performance discussion. Results The results of the condition of patients with varying degrees of density of brain parenchyma showed reduced gray fuzzy boundaries, cerebral sulci shallow pool and intracranial hemorrhage. High sensitivity of CT for HIE is the first choice of imaging examination, the diagnosis and prognosis to treatment has a high application value. Conclusion CT can HIE to make early diagnosis and sub-degree, intracranial hemorrhage can make a qualitative and quantitative diagnosis, clinical diagnosis and treatment provides a very helpful and at the same time to determine the severity of illness and prognosis assessment value.