新生儿缺氧缺血性脑病的临床 病理和影像学进展

The clinical pathological and imaging progress of neonatal hypoxic-Ischemic encephalopathy

新生儿缺氧缺血性脑病临床并不少见,主要病因是围生期宫内缺氧、窒息导致脑损害,基本病理改变是脑细胞缺血、水肿、坏死甚至出血,CT和MRI已成为新生儿缺氧缺血性脑病临床诊断、预后评估的重要检查手段,本文对新生儿缺氧缺血性脑病的临床、病理、检查优选和影像学表现进行综述。

Neonatal hypoxic-ischemic encephalopathy is not uncommon in clinic,the main cause is perinatal intrauterine hypoxia and asphyxia resulting in brain damage.The basic pathological changes are cerebral cell ischemia,edema,necrosis and even hemorrhage.CT and MRI have become important means for clinical diagnosis and prognosis evaluation of hypoxic ischemic encephalopathy.Pathology,optimal selection of examination and imaging findings were reviewed.