螺旋CT在新生儿缺氧缺血性脑病中的临床价值

The Clinical Value of Spiral CT for Neonatal Hypoxic Ischemic Encephalopathy

目的:总结新生儿缺氧缺血性脑病的螺旋CT表现及临床价值。方法:回顾性分析我院2004年10月至2011年12月诊治的缺氧缺血性脑病患儿112例的临床资料及螺旋CT影像学表现、特征。结果:本组112例缺氧缺血性脑病患儿中,轻度86例,伴蛛网膜下腔出血16例,硬膜下血肿3例;中度21例,均合并蛛网膜下腔出血,脑实质出血2例;重度5例,均伴蛛网膜下腔出血,伴脑实质出血2例,硬膜下血肿和脑积水各1例。结论:螺旋CT检查能早期发现缺氧缺血性脑病的脑水肿、颅内出血,对新生儿缺氧缺血性脑病的诊断、病情估计、疗效评估和判断预后有重要临床价值。

Objective： To summarize the spiral CT manifestations and clinical value of the neonatal hypoxic ischemic encephalopathy. Methods： The clinical data and spiral CT imaging manifestations and characteristics of 112 children with hypoxic ischemic encephalopathy were retrospectively analyzed from Oct 2004 to Dec 2011. Results： Among the 112 cases of hypoxic ischemic encephalopathy, 86 cases were mild degree and 16 cases accompany with subarachnoid hemorrhage and 3 cases accompany with subdural hematoma.21 cases were moderate degree and all of the cases complicated with subarachnoid hemorrhage and 2 cases accompany with cerebral hemorrhage. 5 cases were severe degree and all the cases complicated with subarachnoid hemorrhage,2 cases accompany with cerebral hemorrhage, 1 cases complicated with subdural hematoma and 1 case accompany with hydrocephalus. Conclusion： Spiral CT examination can detect the early hypoxic ischemic encephalopathy brain edema, intracranial hemorrhage, diagnosis of the disease, illness, therapeutic evaluation and prognosis estimation. It has an important clinical value.