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目的为了更有效的预防新生儿缺氧缺血性脑病(HIE)和新生儿颅内出血(NIH)的发生,减少其所导致的病死和致残率。方法选择新生儿惊厥78例进行病因分析。所有病例均做了头颅影像学和血钙血糖检查。结果HIE和NIH是新生儿惊厥的主要病因,其中HIE排在首位,多在出生后3d内发病。结论明确HIE和NIH的致病因素,避免窒息和产伤,及早治疗是有效降低其病死和致残的关键。
Objective To prevent the occurrence of neonatal hypoxic-ischemic encephalopathy (HIE) and neonatal intracranial hemorrhage (NIH) more effectively and reduce the mortality and morbidity caused by it. Methods Seventy-eight neonates with seizures were selected for etiological analysis. All cases were done craniogram and blood glucose test. Results HIE and NIH were the main causes of neonatal seizures. Among them, HIE ranked the first place and more than 3 days after birth. Conclusions A clear HIE and NIH risk factors to avoid asphyxia and birth trauma, early treatment is effective in reducing the mortality and disability of the key.