新生儿及婴儿自发性颅内出血的CT表现与临床分析

摘要

Objective To study CTfeatures and clinical analysis with spontaneous intracranial hemorrhage in newborns and Infants , Aims to Guidance clinical .Method Clinical data of 110 cases with intracranial hemorrhage from January 2006 to June 2012  were analysed and summarize, Born time from 2w to 3m . Results CT showed: 2 cases with a single part, 59 cases with two parts, 29 cases with three parts, 10 cases with four parts. 88 cases with subarachnoid hemorrhag (80%), 74 cases with intracerebral hemorrhage (67%), 63 cases with subdural hemorrhage (57%), 30 cases with ventricular hemorrhag (27%), 5 cases with epidural eematomaout (4.5%) ;Follow performance : 43 cases brain with edema (39%) ; 47 cases with with hernia of brain(43%), 30 cases tin the left, 17 cases in the right .Conclusion CT provides useful information about the location and extent of intracranial hemorrhage. CT scan should be the first reliable choice for intracranial hemorrhage. To Timely diagnosis and treatment intracranial emorrhage with different causes , to have important clinical significance for enhance the curative rate and reduce sequela.%　　目的探讨新生儿及婴儿自发性颅内出血的CT表现与病因，指导临床.方法 收集我院对2006年1月至2012年6月收治的2周~3个月婴幼儿急性颅内出血110例作回顾性分析.结果 CT表现：单一部位出血12例，二个部位出血59例，三个部位出血29例，四个部位出血10例.其中蛛网膜下腔出血最多88例(占80%)，合并脑内出血74例(67%)，硬膜下出血63例(57%)，脑室出血30例(27%)，硬膜外出血5例(4.5%)；伴随征象：脑水肿43例(39%)；脑疝形成47例(43%)，其中向左偏30例、向右偏17例.结论 CT检查可确定颅内出血的部位和范围，是颅内出血的首选方法，对不同病因颅内出血及时诊断与治疗，提高治愈率，减少后遗症，有重要的临床意义.