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目的分析小儿不同程度脑组织损伤后脑萎缩的CT表现。方法搜集46例不同程度脑组织损伤后脑萎缩患儿的临床CT资料进行分析。结果弥漫性脑萎缩15例,局限性脑萎缩31例,周围性脑萎缩19例,中心性脑萎缩27例;新生儿HIE19例,先天性宫内感染(TORCH)10例,病毒性脑炎5例,迟发VK缺乏脑实质出血3例,脑血管畸形4例,脑外伤脑实质出血3例,营养不良及不正确使用脱水剂和大量使用类固醇药物患儿2例。结论脑萎缩是小儿脑组织损伤后常见的脑部表现,只要通过对CT征象仔细对比分析并严密结合临床病史资料,就不会发生误诊漏诊现象延误治疗。
Objective To analyze the CT findings of brain atrophy in children with different degrees of brain damage. Methods The clinical CT data of 46 children with brain atrophy after brain injury were collected. Results diffuse brain atrophy in 15 cases, 31 cases of localized atrophy, peripheral brain atrophy in 19 cases, 27 cases of central atrophy; Neonatal HIE19 cases, 10 cases of congenital intrauterine infection (TORCH), viral encephalitis 5 For example, lagged VK lacks 3 cases of cerebral parenchymal hemorrhage, 4 cases of cerebrovascular malformation, 3 cases of traumatic cerebral parenchymal hemorrhage, malnutrition and improper use of dehydrating agent and 2 cases of steroid-eluting children. Conclusions Brain atrophy is a common brain manifestation in children with brain injury. As long as the CT signs are carefully analyzed and closely combined with clinical history data, there will be no delayed treatment of misdiagnosis and missed diagnosis.