CT在新生儿缺氧缺血性脑病中的诊断分析

Research on CT diagnosis of hypoxic ischemic encephalopathy in neonates

目的:探讨新生儿缺氧缺血性脑病的CT征象。方法:收集86例新生儿缺氧缺血性脑病的临床与影像资料,就其发病机制、颅脑CT表现特点进行分析。结果:86例均出现不同程度的脑水肿,合并蛛网膜下腔出血29例、合并蛛网膜及硬膜下出血3例、合并颅内出血并破入脑室1例、合并硬膜下血肿及皮下血肿1例。结论:CT对新生儿缺氧缺血性脑病的检查和随访在临床诊治中具有重要价值。

Objective： Imaging features of hypoxic ischemic encephalopathy in neonates on CT scan were analyzed. Methods： Eight six cases of hypoxic ischemic encephalopathy in neonates were collected, and the pathogenesis, CT image characteristics were analyzed. Results： All of86 cases have brain edema in different degree, and complicated with subarachnoid hemorrhage in 29 cases, subarachnoid and subdural hemorrhage in three cases, intracranial hemorrhage breaking into ventricles in one case and subdural hemorrhage with subcutaneous bleeding in one case. Conclusion： CT scan is valuable for detect the hypoxic ischemic encephalopathy in neonates and its follow-up examination.