论文部分内容阅读
我们对30例缺血缺氧性脑病(HIE)新生儿行头颅B超、脑电功率值检查,旨在了解其对HIE的诊断价值。 资料与方法:本组男22例,女8例;年龄为生后2小时至4天,平均2.5天。孕周37～42周,体重2500～3850g(<2500g2例)。宫内窘迫12例,产时窒息18例。均按1989年济南新生儿惊厥座谈会制定的新生儿HIE标准诊断和分度,经头颅CT证实。其中轻度10例,中度16例,重度4例。对照组系本院产科正常分娩的新生儿20例,均无宫内及产时窒息,其孕周、体重及日龄与HIE组无明显差异。 采用美国惠普SDNDS—100型实时超声显像仪,尽可能显示大脑解剖关系和病变定位。入院时行初次检查,治疗后每隔3～5天复查1次。脑电功率值检查采用中国医学科学院科龙公司生产的9001型16导脑电功率值仪,电极采用国际10/20系统安放法,16导同时描记,双乳突为参考电极,分析时间为15000ms,脑电信息严格控制实验条件,分别取安静型睡眠(QS)与活动型睡眠(AS)脑电信息各15秒,换算成脑电功率值,求出相应的比值。与
We examined 30 cases of neonatal hypoxic-ischemic encephalopathy (HIE) brain ultrasound B-value, EEG power value, to understand its diagnostic value of HIE. Materials and Methods: The group of 22 males and 8 females; aged 2 to 4 days after birth, an average of 2.5 days. 37 to 42 weeks gestational age, body weight 2500 ~ 3850g (<2500g2 cases). 12 cases of intrauterine distress, 18 cases of asphyxia during labor. According to the 1989 Jinan neonatal convulsions Symposium developed by the Neonatal HIE standard diagnosis and classification, confirmed by skull CT. Of which mild in 10 cases, moderate in 16 cases, severe in 4 cases. The control group of 20 cases of normal delivery of obstetric obstetric neonates, no intrauterine and birth-induced asphyxia, gestational age, weight and age and HIE group no significant difference. US Hewlett-Packard SDNDS-100 real-time ultrasound imaging system, as much as possible to display the anatomy of the brain and pathological localization. First line of admission examination, after treatment every 3 to 5 days to review 1. The value of EEG was 9001 16-lead EEG measured by Kelon Company of Chinese Academy of Medical Sciences. The electrode was placed in an international 10/20 system. The 16-lead simultaneous plethysmography was used as the reference electrode. The analysis time was 15000 ms. The brain Electrical information is strictly controlled experimental conditions, were taken quiet sleep (QS) and active sleep (AS) EEG each 15 seconds, converted to brain electrical power values, find the appropriate ratio. versus