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通过对63例缺氧缺血性脑病(HIE)的临床和随访,总结分析临床分度,NBNA及CT与预后的关系。CT中重度者死亡54.7%,智力低下26.5%,生后12~14天NBNA≤35分死亡60%,后遗症20%。临床分度为重度者死亡62.5%,后遗症20%。CT、NBNA及临床分度的敏感性分别为100%、57.1%及100%,特异性分别为26.92%、95.24%及17.14%。因此在判断预后时用NBNA结合CT或临床分度来评估更有价值。
Through the clinical and follow-up of 63 cases of hypoxic-ischemic encephalopathy (HIE), the clinical classification, the relationship between NBNA and CT and prognosis were analyzed. Severe CT death 54.7%, mental retardation 26.5%, 12-14 days after birth NBNA ≤ 35 points 60% of deaths, sequelae 20%. Clinical sub-degree of death were severe 62.5%, 20% of sequelae. The sensitivity of CT, NBNA and clinical index were 100%, 57.1% and 100% respectively, and the specificity were 26.92%, 95.24% and 17.14% respectively. Therefore, in the judgment of prognosis with NBNA combined with CT or clinical index to assess more valuable.