目的:通过CT影像资料评价新生儿缺氧缺血性脑病与颅内出血量的关系及其预后。方法:收集1998~2006年临床诊断为缺氧缺血性脑病70例新生儿患者的CT资料,观察CT图像显示的脑出血量,分析不同程度的缺氧缺血性脑病和出血部位与颅内出血量和预后的关系。结果:新生儿缺氧后轻、中度出血在1~2周内均可完全吸收,发生在基底节或大脑白质区域的重度出血预后较差。结论:颅内出血量与窒息缺氧程度呈正相关;发生在不同部位的出血,其预后不同。
Citation:
YE Jian,CHU Zhigang,YUAN Hongmei,et al. The Relationship among Neonatal Hypoxicischemic Encephalopathy Graduation and Intracranial Hemorrhage and Evaluation the Prognosis by Computer Tomography. West China Medical Journal, 2009, 24(8): 2103-2104. doi:
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- 1. 韩玉昆.新生儿缺氧缺血性脑病诊断依据和临床分度[J].中华放射学杂志,1997,35(2):99-100.
- 2. GURURAJ A, SZTRIHA L, DAWODU A, et al. CT and MRI patterns of hypoxic ischemic brain damage following perinatal asphyxia[J]. J Trop Pediatr,2002,48:5-8.
- 3. 徐文彪,刘立炜,周少毅,等.新生儿缺氧缺血性脑病合并颅内出血的CT表现特点及其预后[J].实用放射学杂志,2004,20(5):451-453.
- 4. 李秀云,陈培茹,王迪彬,等.新生儿缺氧缺血性脑病的早期干预及随访[J].山东医药,2007,47(27):61.