新生儿缺氧缺血性脑病的CT诊断

摘要

目的：通过运用 CT 扫描判断新生儿缺氧缺血性脑病(HIE)的临床特征,探讨 CT 扫描对 HIE 的临床价值.方法：回顾性分析笔者所在医院2009-2011年3月收治的 HIE 患儿58例的 CT 表现、损伤程度及合并颅内出血的类型.结果：经 CT 诊断的58例 HIE 患儿中,轻度25例(43.10%),中度18例(31.03%),重度15例(25.87%)；经随访复查,58例 HIE 患儿轻度 CT 阳性率12.00%；中度 CT 阳性率44.44%；重度 CT 阳性率53.33%.结论：CT 扫描能够准确判断 HIE 的临床特征,并为进一步确定此病的损伤范围、程度、分类以及合并症,并制定合理的诊疗方案提供科学依据,有较好的临床价值.%Objective:Through the use of CT scan to determine clinical features of neonatal hypoxic-ischemic encephalopathy(HIE),to explore the clinical value of the HIE.Methods:Retrospective analysis the CT feature,the degree of injury and the type of intracranial hemorrhage of 58 cases with HIE in our hospital from 2009 to March 2011.Results:The diagnosis by CT in 58 cases of HIE,mild 25 cases(43.10%) and 18 cases,moderate (31.03%),severe in 15 cases (25.87%),by the follow-up review,58 cases of mild HIE CT the positive rate of 12.00%;moderate CT-positive rate of 44.44%;severe CT-positive rate of 53.33%.Conclusion:CT scan can accurately determine the clinical features of HIE,and to further determine the damage range of the disease,the degree of classification,and complications,and to provide a scientific basis for rational treatment programs,it has better clinical value.