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目的:总结新生儿缺氧缺血性脑病的螺旋CT表现及临床价值。方法:回顾性分析我院2004年10月至2011年12月诊治的缺氧缺血性脑病患儿112例的临床资料及螺旋CT影像学表现、特征。结果:本组112例缺氧缺血性脑病患儿中,轻度86例,伴蛛网膜下腔出血16例,硬膜下血肿3例;中度21例,均合并蛛网膜下腔出血,脑实质出血2例;重度5例,均伴蛛网膜下腔出血,伴脑实质出血2例,硬膜下血肿和脑积水各1例。结论:螺旋CT检查能早期发现缺氧缺血性脑病的脑水肿、颅内出血,对新生儿缺氧缺血性脑病的诊断、病情估计、疗效评估和判断预后有重要临床价值。
Objective: To summarize the spiral CT findings and clinical value of neonatal hypoxic-ischemic encephalopathy. Methods: A retrospective analysis of our hospital from October 2004 to December 2011 diagnosis and treatment of children with hypoxic-ischemic encephalopathy in 112 cases of clinical data and spiral CT imaging findings and characteristics. Results: Of the 112 children with hypoxic-ischemic encephalopathy, 86 were mild, 16 were with subarachnoid hemorrhage, 3 were subdural hematoma, and 21 were moderate. All were complicated with subarachnoid hemorrhage, 2 cases of cerebral parenchymal hemorrhage and 5 cases of severe subarachnoid hemorrhage with subarachnoid hemorrhage, 2 cases of cerebral parenchymal hemorrhage, 1 case of subdural hematoma and hydrocephalus. Conclusion: Spiral CT examination can detect cerebral edema and intracranial hemorrhage of hypoxic-ischemic encephalopathy early and has important clinical value in the diagnosis of neonatal hypoxic-ischemic encephalopathy, disease estimation, curative effect evaluation and prognosis.