论文部分内容阅读
新生儿窒息并发脑损伤是新生儿期危害最大的常见病之一,常引起新生儿死亡或幸免死亡者也留有严重的后遗症。窒息时的脑损伤往往与围产期因素有关,多数患儿有宫内窘迫,产程延长,胎吸,产钳助产及胎盘母体等因素。对生后有窒息的患儿作CT扫描可及早发现脑损伤,及时治疗。本文对1992年8月—1998年8月,6年间出生的窒息儿经CT确诊的脑损伤进行临床分析如下。 1 临床资料 1.1 病例选择 1992年8月—1998年8月,6年间收住有窒息的新生儿经头颅CT确诊为缺氧缺血性脑病(HIE)56例,颅内出血(ICH)111例。在67例脑损伤的患儿中,轻度窒息9例,重度窒息58例。男52例,女15例。孕周<37周8例,37～42周57例,孕周>42周2例。体重<1500g 6例,1500～2499g 12例,>2500g 45例,>4000g 4例。脑损伤的患儿中,宫内窘迫26例,第二产程延长8例,脐带绕颈9例,脐带脱垂8例,孕高症和子痫10例,胎盘因素6例。脑损伤的伴随疾病,吸入性肺炎26例,高胆红素血症28例,硬肿症12例,红细胞增多症6例,RDS 2例,肺出血4例。
Neonatal asphyxia complicated with brain damage is one of the most common neonatal diseases, often causing neonatal death or surviving those who died of serious sequelae. Asphyxia brain injury and perinatal factors are often related to the majority of children with intrauterine distress, prolonged labor, fetal suction, forceps midwifery and placental maternal and other factors. Post-natal asphyxia in children with CT scan early detection of brain damage, timely treatment. This article from August 1992 to August 1998, 6 years of neonatal asphyxia were diagnosed by CT-based clinical analysis of brain injury are as follows. 1 Clinical data 1.1 Case Selection August 1992-August 1998, 6-year admitted to neonatal asphyxia by head CT confirmed 56 cases of hypoxic-ischemic encephalopathy (HIE), intracranial hemorrhage (ICH) in 111 cases. In 67 children with brain injury, mild asphyxia in 9 cases, 58 cases of severe asphyxia. There were 52 males and 15 females. Pregnancy <37 weeks in 8 cases, 37 to 42 weeks in 57 cases, gestational weeks> 42 weeks in 2 cases. 6 cases of body weight <1500g, 1500 ~ 2499g 12 cases,> 2500g 45 cases,> 4000g 4 cases. 26 cases of intrauterine distress, extension of the second stage of labor in 8 cases, umbilical cord around the neck in 9 cases, umbilical cord prolapse in 8 cases, gestational hypertension and eclampsia in 10 cases, placental factors in 6 cases. 26 cases of aspiration pneumonia, 28 cases of hyperbilirubinemia, 12 cases of scleredema, 6 cases of polycythemia, 2 cases of RDS and 4 cases of pulmonary hemorrhage.