新生儿颅内出血的CT诊断及随访(附60例报告)  

THE USE OF COMPUTERIGED TORNAGRAPHY SCAN (CT) IN DIAGNOSIS OF NEONATAL INTVACRANIAL HEMORRHAGE

作　　者：庄思齐[1] 李钢洲 刘克明[1] 陈修添[1] 官希吉[1] 

机构地区：[1]中山医科大学附属第一医院儿科

出　　处：《中国新生儿科杂志》1992年第6期244-245,285+243,共4页Chinese Journal of Neonatology

摘　　要：本文通过对60例临床诊断为新生儿颅内出血及30例正常对照作头颅CT检查及远期体格智能发育随访,探讨诊断结果与临床表现及预后评估之间的关系。结果提示颅内出血部位及程度与原发病及胎龄有关,出血广泛并有HIE者,CT复查可有脑萎缩表现并远期智能发育不良;单纯少量蛛网膜下腔出血可自行吸收,CT复查正常,共精神运动发育不受影响。故认为CT检查可作为新生儿颅内出血的诊断、分型及预后判断时实际可靠的辅助方法。60 cases with naonatal intracranial hemorrhage and 30 normal babies were studied with CT scan. The results showed that intensive hemorrhage, or complicated with hypoxic ischemic encphalopathy (HIE) diagnosed by CT, may cause cerebral atrophy and mental retardation, which were found during the time of follow-up. On the other hand, mild-middle subarac- hnoid homorrhage could be absorbed spontenously without any sequalae, and with normal result of repeated CT scan. Therefore, CT scan could be used as an useful and auxillary method for diagnosis and prognostic pre- diction of NICH.

关 键 词：颅内出血 HIE CT DDST 随访 

分 类 号：R72[医药卫生—儿科]