新生儿缺氧缺血性脑病265例临床与CT分析

Characteristics of clinical manifestations and CT changes in 265 neonates with hypoxic-ischemic encephalopathy

目的:探讨新生儿缺氧缺血性脑病(HIE)临床特点与CT改变。方法:回顾性分析265例HIE临床及CT表现。结果:HIE多发生于足月儿(78.5%),惊厥发生率高(58.49%),蛛网膜下腔出血多见(34.72%),临床与CT分度相符者占51.7%,临床较CT分度重者占38.5%,临床较CT分度轻者占9.8%,CT分度与预后密切相关。结论:判断HIE病情及预后时应将临床与CT结合起来综合分析。

Objective To investigate the clinical and CT characteristics of neonatal hypoxic-ischemic encephalopathy(HIE).Method265neonates with HIE were studied retrospectively and clinical manifestations and CT changes were analysed.Re sults Morbidity of HIE was high in full-term neonates(78.5%).The incidences of convulsion and subarachnoid hemorrhage were58.5%and34.7%,respectively.The rate of same severe degree between clinical and CT was51.7%.It was38.5%that the clini-cal degree of was more severe than CT.It was9.8%the degree that clinical was lighter than CT There was a close relationship between severe degree of CT and prognosis in HIE.Conclu sion It was comprehensively analyzed clinical characteristics and CT changes for judging the severity and long-term prognosis of HIE.