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目的:研究高原藏族新生儿缺氧缺血性脑病(Hypoxicischemicencephalopathy,HIE)及颅内出血的关系和低氧环境对二者的影响。方法:对26例藏族新生儿缺氧缺血性脑病和颅内出血的CT表现进行了回顾性分析。结果:HIE轻度4例,SDH4例,SAH3例,ICH1例;中度8例,SDH6例,SAH7例;重度HIE14例,SDH13例,SAH10例,ICH2例。结论:(1)HIE由轻度到重度的发生率越高,SDH及SAH发生率也相应增高;(2)SDH发生率高于SAH的发生率;(3)高原低氧环境可加重HIE和颅内出血。
Objective: To study the relationship between Hypoxic ischemic encephalopathy (HIE) and intracranial hemorrhage and the effects of hypoxic environment on them in Tibet Plateau. Methods: A retrospective analysis was performed on the CT findings of 26 Tibetan neonate with hypoxic-ischemic encephalopathy and intracranial hemorrhage. Results: There were 4 cases of mild HIE, 4 cases of SDH, 3 cases of SAH and 1 case of ICH; 8 cases of moderate, 6 cases of SDH and 7 cases of SAH; 14 cases of severe HIE, 13 cases of SDH, 10 cases of SAH and 2 cases of ICH. (2) The incidence of SDH is higher than that of SAH; (3) The plateau hypoxia environment can aggravate the HIE and the incidence of SAH; (2) The incidence of SDH is higher than that of SAH; (3) Intracranial hemorrhage.