螺旋CT对新生儿缺氧缺血性脑病的诊断价值

摘要

目的：探讨新生儿缺氧缺血性脑病CT扫描的诊断价值。方法对75例有围生期窒息史，且有临床症状的病例进行CT扫描，取得完整的临床及CT资料后进行综合分析。结果75例患者中轻度28例，中度38例，重度9例，合并蛛网膜下腔出血28例，脑室内出血4例，脑出血2例，硬膜下血肿3例。结论 CT对新生儿缺氧缺血性脑病能明确作出诊断，并能清晰显示病变部位、范围及程度，对临床治疗和预后评估有重要意义。%Objective To explore the value of CT scanning in the diagnosis of neonatal hypoxic ischemic en-cephalopathy. Methods Seventy-five cases with perinatal asphyxia, and clinical symptoms were scanned with CT, and complete clinical and CT materials were achieved for comprehensive analysis. Results Of 75 patients, 28 cases were mild cases, 38 cases were moderate cases, and 9 cases were severe cases.There were 28 cases combined with subarachnoid hemorrhage, 4 cases with intraventricular hemorrhage, 2 cases with cerebral hemorrhage, 3 cases with subdural hematoma. Conclusion CT can do help for confirming the diagnose of the neonatal hypoxic ischemic en-cephalopathy, and can clearly display the scope and degree of the lesion site, which has important significance for clinical treatment and prognosis assessment.