新生儿缺氧缺血性脑病的CT演变及预后分析

发布时间：2018-01-03 01:08

本文关键词：新生儿缺氧缺血性脑病的CT演变及预后分析　出处：《辽宁医学院学报》2016年06期 　论文类型：期刊论文

【摘要】：目的探索缺氧缺血性脑病(HIE)的CT表现,并分析其预后情况。方法选取2012年7月至2015年7月收治的216例疑似为HIE的患儿,进行CT检查,并对患儿进行定期随访观察。结果经1.5个月随诊观察,其中195例患儿得到随诊,随访率是90.28%。结果显示,其中101(51.79%)患儿恢复至正常,伴侧脑顶叶白质脑软化灶32例(16.41%),41(21.03%)例患儿有假性脑积水,显示为额顶部脑沟及硬膜下腔加宽,前纵裂池显示为"V"字形加宽(早产儿、脑白质病变不适合CT确诊),侧脑室旁白质区脑软化灶及外部性脑积水21例(10.77%)。结论头部CT对HIC的诊断效能较高,其能科学评估患儿治疗后脑实质的发育状况,及时掌握患儿病变的改变,对患儿的预后具有积极意义。
[Abstract]:Objective to investigate the CT findings of hypoxic-ischemic encephalopathy (HIE) and to analyze its prognosis. Methods from July 2012 to July 2015, 216 children suspected to be HIE were selected. Ct examination was performed and the children were followed up regularly. Results 195 cases of them were followed up after 1.5 months. The follow-up rate was 90.28%. There were 32 cases of leukomalacia with lateral parietal lobe leukomalacia in 32 cases and 41 cases 21. 03%) with pseudohydrocephalus. The results showed that the frontal sulcus and subdural space were widened and the anterior longitudinal fissure cistern was widened in the shape of "V" (premature infants, white matter lesions were not suitable for CT diagnosis). There were 21 cases of cerebral malacia and external hydrocephalus in the lateral ventricular collateral leukomalacia and external hydrocephalus. Conclusion CT of the head is more effective in the diagnosis of HIC, and it can scientifically evaluate the development of brain parenchyma after treatment in children. It is of positive significance for the prognosis of children to grasp the changes of pathological changes in time.
【作者单位】：固原市人民医院;
【分类号】：R742
【正文快照】： 新生儿缺氧缺血性脑病(hypoxic ischemic en-cephalopathy,HIE),是指胎儿在娩出过程中因窒息、羊水污染等原因而导致缺氧缺血性脑损伤,是引起我国儿童伤残致死的首要因素之一[1]。CT是HIE诊断的主要参考。本研究采用头颅CT对所收治的患儿进行诊断,并随诊观察了治疗后CT的演变,

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