新生儿缺氧缺血性脑病的CT诊断

The diagnosis of the hypoxie-ischemic encephalopathy by CT

目的:了解新生儿缺氧缺血性脑病的CT诊断方法,探讨CT在进行新生儿缺氧缺血性脑病的临床分度及诊断价值。方法:对33例新生儿缺氧缺血性脑病患儿的临床CT诊断资料进行回顾性分析。结果:所有患儿均表现出不同程度的异常,主要为脑梗死和脑水肿。其CT分度与临床分度基本一致(r=0.798 6,P<0.01),患儿的窒息程度与CT分度呈正相关(r=0.701,P<0.01)。同时CT能显示治疗过程中的病变改善情况,有2例死亡患者。结论:CT诊断是新生儿缺氧缺血性脑病治疗和预后的重要依据。

Objective：To acquaint the diagnosis method and explore the clinical degree and diagnosis value of hypoxie-ischemic encephalopathy with CT.Methods：To retrospective analysis the 33 cases of hypoxie-ischemic encephalopathy＇s clinical CT diagnosis data.Result：All the hypoxie-ischemic encephalopathy patients showed different extent exception,importantly include cerebral infraction and hydrocephalus.Its CT degrees and the clinical degrees had basically unanimous,the patients＇ asphyxia extents and the CT degrees had positive correlations,and the CT can show the improving situations of lesions among the treatment,it has 2 cases deaded.Conclusions：The CT diagnosis was the important gist about the treatment and prognosis of the HIE.