床旁头颅B超在基层医院的应用

Application of bedside ultrasonic examination of head in primary hospital

目的:探讨床旁头颅B超在基层医院的应用。方法:选择早产儿152例及窒息患儿47例,行床旁头颅B超检查。结果:152例早产儿总脑室内出血(IVH)发生率52.6%(80/152),重度IVH发生率13.7%(11/152);胎龄越小,IVH发生率越高。47例窒息患儿脑损伤阳性率63.8%(30/47),窒息程度越重,脑损伤发生率越高。结论:床旁头颅B超具有快速、无创、诊断率高等特点,可作为基层医院对新生儿脑损伤进行早期筛查的首选。

Objective:To explore the application of bedside ultrasonic examination of head in primary hospital.Methods:152premature infants and47children with asphyxia were selected.They were examined by bedside ultrasonic examination of head.Results:In152premature infants,the incidence of total IVH(intraventricular hemorrhage)was52.6%(80/152),and the incidenceof severe IVH was13.7%(11/152);the smaller the gestational age,the higher the incidence of IVH.In47children with asphyxia,thepositive rate of brain injury was63.8%(30/47),and the higher the degree of asphyxia,the higher the incidence of brain damage.Conclusion:Bedside ultrasonic examination of head had the characteristics of rapid,non-invasive and high diagnostic rate.It canbe used the first choice examination for early screening of neonatal brain injuries in primary hospitals.