新生儿缺氧缺血性脑病的CT改变及临床分度研究  

Study on CT and Clinical Grading of Hypoxic-Ischemic Encepholopathy in Neonates

作　　者：朱江[1] 石富[1] 冯波[2] 

机构地区：[1]武警辽宁省总队医院,110034 [2]辽宁省人民医院

出　　处：《医学研究通讯》2005年第6期30-32,共3页Bulletin of Medical Research

摘　　要：目的探讨新生儿缺氧缺血性脑病(HIE)的 CT 分度与临床分度的相关性。方法对52例临床确诊为 HIE 的患儿进行头 CT 扫描,与临床分度的相关性进行对照分析。结果足月儿临床轻度 HIE 与 CT 轻度 HIE 有显著差异,中重度则无显著差异,早产儿 HIE 与 CT 分度有显著差异。结论 HIE 的临床分度与 CT 分度有一定相关性,但轻度 HIE 及早产儿 HIE 两者有分离,因此两者结合诊断更为客观。Objective To analyze the correlation between CT and clinical grading of Hypoxic-ischemic encepholopathy(HIE)in neonates and to find out the value of CT in the diagnosis of HIE.Methods 52 patients with HIE underwent CT scan and their CT findings and clinical man- ifestations were studied,The correlation between CT and clinical grading was analyzed.Results It is markedly different in prematures and in mild grade in terrn infant between CT and clinical,but has a good positive relevance in the moderate and severe grade.Conclusion The grades in CT and clinic of HIE present remarkable correlation in moderate and severe grade,but was marked different in mild grade in terrn infant and in pre- matures.It had better get clinical manifestations and CT imaging together in diagnosis of HIE,as CT could provide additional information in HIE.

关 键 词：新生儿缺氧缺血性脑病 临床分度 CT改变 CT分度 HIE 头CT扫描 相关性 对照分析 早产儿 轻度 足月儿 中重度 

分 类 号：R722.12[医药卫生—儿科] R743.34[医药卫生—临床医学]