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CT应用之前,新生儿缺氧、缺血性脑病的诊断主要依据临床症状及体征,判断是否合并颅内出血,常需做脑脊液穿刺等创伤性检查,且对预后较难判断.CT扫描能直接显示新生儿颅内情况.本文就78例新生儿缺氧、缺血性脑病的临床及CT表现进行分析,旨在提高对本病认识.1 材料与方法收集1989年3月～1995年3月在我院儿科住院并经临床及CT诊断为新生儿缺氧、缺血性脑病78例.男55例,女23例,首次CT检查自出生6小时～30天不等,平均5.2天.22例患儿行第2次CT扫描,距首次扫描时间平均35天;第3次CT检查共7例,均在发病1年以后.CT扫描采用德国西门子Somatom CR型CT机,扫描前常规给予水含氯醛口服或保留灌肠使其安
Prior to CT application, the diagnosis of neonatal hypoxia and ischemic encephalopathy mainly based on clinical symptoms and signs, to determine whether the merger of intracranial hemorrhage, often need to do traumatic examination such as cerebrospinal fluid puncture, and the prognosis is difficult to judge .CT scan can be directly displayed Neonatal intracranial conditions.In this paper, 78 cases of neonatal hypoxic ischemic encephalopathy clinical and CT analysis to improve understanding of the disease.1 Materials and Methods March 1989 ~ March 1995 at Pediatric hospital in our hospital and clinical and CT diagnosis of neonatal hypoxic ischemic encephalopathy in 78 cases, 55 males and 23 females, the first CT examination from 6 to 30 days after birth, an average of 5.2 days .22 cases Children underwent the second CT scan, an average of 35 days from the first scan time; the third CT scan in 7 cases, all after 1 year of onset.CT scan using the German Somatom CR CT machine, routinely given water before the scan Chloral hydrate orally or to keep its safety