112例新生儿早期脑损伤的超声诊断分析

Ultrasound Diagnosis of Newborns Early Brain Damage:A Report of 112 cases

目的:探讨胎儿颅脑超声对新生儿早期脑损伤的诊断价值及其临床意义。方法:回顾性分析了112例新生儿早期脑损伤的颅脑超声诊断,总结其颅脑超声声像图表现特征。结果:112例颅脑超声诊断的早期脑损伤的新生儿经CT或MRI及临床诊断或随访确诊,其中脑室周围—脑室内出血37例;脑实质出血16例;硬脑膜下出血9例,蛛网膜下腔出血5例,小脑出血3例;新生儿缺血缺氧性脑病21例;早产儿脑室周围白质软化15例;新生儿脑梗死2例;脑脓肿4例。其中合并脑积水58例。结论:颅脑超声可以早期发现新生儿早期脑损伤,通过对新生儿颅内结构及脑损伤的全面了解,对临床正确处理提供依据。

Objective：To explore fetal neonatal craniocerebral ultrasonography in the diagnosis of early brain damage value and their clinical significance.Methods：A retrospective analysis of 112 newborns early craniocerebral ultrasound diagnosis of brain damage,and to sum up the craniocerebral ultrasonic ultrasonographic performance characteristics.Results：112 cases of cerebral ultrasound diagnosis of early brain damage of neonatal by CT or MRI and clinical diagnosis or follow-up diagnose,including ventricle around - intraventricular hemorrhage 37 cases,Parenchymal hemorrhage 16 cases）.Subdural hemorrhage in 9 cases,subarachnoid hemorrhage in 5 cases,small cerebral hemorrhage in 3 patients, Neonatal ischemia broadened encephalopathy 21 cases,Premature ventricle surrounding white matter softening in 15 cases,Neonatal cerebral infarction in 2 cases,Brain abscesses 4 cases.One merger hydrocephalus 58 cases.Conclusion：Early detection of neonatal craniocerebral ultrasound can early brain damage,through to the newborn intracranial structures and comprehensive understanding of brain damage for clinical correctly handle provides the basis.