新生儿缺血缺氧脑病的CT征象分析

Analysis on CT Signs of Neonatal Hypoxic Ischemic Encephalopathy

目的对新生儿缺血缺氧脑病的CT检查征象进行分析,以提高临床诊断的检出率和有效率。方法以我院2010年2月至2012年8月进行CT检查的新生儿缺血缺氧脑病患儿30例为研究对象,对其CT检测的征象进行分析,根据随访结果统计预后,并进行总结。结果研究对象中发生重度缺血缺氧脑病的患儿为8例,中度12例,轻度10例,合并颅内出血18例;随访1年恢复正常者11例,出现不可逆后遗症18例,死亡1例。结论 CT检查不仅能够为新生儿缺血缺氧脑病的诊断提供依据,而且对患儿的预后具有重要的预测价值。

Objective To analyze the neonatal hypoxic ischemic encephalopathy of CT signs, in order to improve clinical diagnostic detection rate and efficiency rate. Methods 30 cases of neonatal hypoxic ischemic encephalopathy in our hospital from February 2010 to August 2012 were selected as the research object to analyze the CT signs and summarize the prognosis according to the follow-up results. Results Among the research object, severe hypoxic ischemic encephalopathy occurred in 8 cases, moderate in 12 cases, mild in 10 cases, 18 cases were as sociated with intracranial hemorrhage; follow-up of one year found normal in 11 cases, irreversible sequela in 18 cases, one case died. Conclusions CT scan not only provides the basis for the diagnosis of neonatal hypoxic ischemic encephalopathy, but also has important predictive value in prognosis of children.