围产期不同阶段的缺氧与新生儿缺氧缺血性脑病的关系173例分析

On Relation Between Hypoxia in Different Perinatal Stage and Hypoxic Ischemic Encephalopathy (An Analysis of 173 Cases)

对1989年1月至1993年12月本院分娩的173例新生儿缺血脑病(HIE)及颅内出血(ICH)进行分析,并对其中156例进行头颅CT检查。HIE的发生率为活产儿的2.13％,病死率为7.51％,是同期活产儿围产期死亡率的14.44倍。按围产期不同阶段的缺氧将173例HIE患儿分为四组,探讨其与临床分度、预后的关系以及临床分度与CT分度关系。分析CT诊断HIE及ICH的价值,并对HIE及ICH的早期诊断和预防进行讨论。

Upon the analysis of 173 cases with hypoxic and ischemic encephalopathy(HIE)and in-tracranial hemorrhage (ICH) in our hospital from Jan. 1989 to Dec. 1993, and upon the CT brain scanning of 156 cases among them,the result revealed HIE rate was 7. 51 per cent. It was 14. 44 times more than the perinatal mortality of the same stage livebirth. According to hypoxia in various stages the 173 cases of HIE were divided into four groups. A study was made on its relation between clinical degree and prognosis,and on the relation between clinical degree and CT degree. The value of CT diagnosis of HIE and ICH was analized. Also,early diagnosis and prediction of HIE and ICH were discussed in this article.