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作者从1976年至1980年5年间,对58例足月新生儿出生后因窒息脑缺血、缺氧引起痉挛的预后,进行了随访和探讨。其中14例在新生儿期死亡,26例有明显的后遗症。作者认为,根据痉挛持续的天数和开始经口哺乳的日龄,可以推测其预后。痉挛持续3～7天或7天以上才能经口哺乳者预后不良。新生儿期脑电图有无异常,对发育和预后的关系不大。但是脑电图明显异常,多见于重度障碍的小儿,同时脑电图异常者可并发癫痫。因此对新生儿脑电图的分析不但要看脑电图有无异常,而且要详细分析异常的情况。脑电图异常是诊断癫痫的一个指标。脑CT所见如脑实质有轻度和重度低密度时可推测预后,而中度低密度判断预后困难。
From 1976 to 1980 five years, 58 cases of full-term newborn after birth due to asphyxia cerebral ischemia, hypoxia-induced spasm prognosis were followed up and discussed. Of these, 14 died in the neonatal period and 26 had significant sequelae. According to the authors, the prognosis is based on the number of days spasticity persists and the age at which oral ingestion begins. Spasm lasts 3 to 7 days or more than 7 days to have a poor prognosis. Neonatal EEG with or without abnormalities, the development and prognosis of little. However, significant abnormal EEG, more common in children with severe disorders, while abnormal EEG can be complicated by epilepsy. Therefore, the analysis of neonatal EEG depends not only on whether there is abnormal EEG, but also to analyze in detail the abnormal situation. EEG abnormalities is an indicator of epilepsy diagnosis. Brain CT findings such as brain parenchyma with mild and severe low density can predict the prognosis, and moderate low density to determine the prognosis.