新生儿缺血缺氧性脑病的CT诊断  

CT diagnosis of hypoxic-ischemic encephalopathy in neonates

作　　者：牛家成[1] 马军霞[1] 刘柏[1] 陈立光[2] 于台飞[2] 

机构地区：[1]山东省滕州市中心人民医院,山东滕州277500 [2]山东省医学影像学研究所,山东济南250021

出　　处：《医学影像学杂志》2008年第4期370-372,共3页Journal of Medical Imaging

摘　　要：目的:探讨新生儿缺血缺氧性脑病(简称HIE)CT表现与特点。方法:对61例HIE患儿的CT资料片由两位影像科医师进行双肓法阅片,结合临床综合分析。结果:①HIE结合文献按受累脑叶范围分轻、中、重度,其中轻度16例,中度24例,重度21例;②HIE易并发颅内出血,其中以蛛网膜下腔出血最常见,约占44%。结论:HIE的CT表现颇具特征性,结合临床资料及新生儿正常影像学表现可作出正确的诊断。Objective： To study the CT signs and characteristics of hypoxic ischemic encephalopathy （tHE） in neonates. Methods： The CT data of 61 cases with HIE were read by two radiological doctors in double-blind manner. CT findings were analysed combined with clinical materials. Results：Among 61cases 16 mild I-HE, 24 morderate HIE and 21 serious HIE were found. HIE was easily accomplicated with intracranial hemorrhage. Subarachnoid hemorrhage was the most common complication, accounting for 44%. Coaclusion：There was significant specification in CT signs of HIE, clinical data and normal imagining of neonates are both critical for the correct diagnosis.

关 键 词：新生儿 缺血缺氧性脑病 体层摄影术 X线计算机 

分 类 号：R722[医药卫生—儿科] R814.42[医药卫生—临床医学]