新生儿脑损伤影像学改变与预后的关系

Relationship between Imaging Changes and Prognostic Assessment of Neonatal Brain Damage

新生儿脑损伤如新生儿HIE、颅内出血等可发生脑性瘫痪、精神发育迟滞等严重的神经系统后遗症。对新生儿脑损伤进行早期诊断、早期评估神经系统后遗症,并进行早期康复干预,有利于改善预后。针对目前常用的影像学检查(CT、MRI、超声)改变与新生儿脑损伤预后评估的关系进行文献复习。着重阐述新生儿HIE、颅内出血头颅CT、MRI、超声等影像学改变与预后评估的关系。

Neonatal brain damage including hypoxia- ischemia encephalopathy（HIE） and intracranial haemorrhage,may cause adverse neurodevelopmental outcome such as cerebral palsy. Earlier diagnosis is very important for the treatment of brain damage. This review is to elu- cidate the relationship between imaging changes （CT, MRI and uhrasonography） and prognostic assessment, thus provide reference for clini- cians,the objective is focus on imaging changes of HIE and intracranial haemorrhages,which are 3 of the most frequently reported cases.