新生儿缺氧缺血性脑病59例临床分析  

Clinical Study of 59 Cases of Hypoxic-ischemic Encephalopathy

作　　者：陈小慈[1] 

机构地区：[1]广东省新兴县疾病预防控制中心,广东新兴527400

出　　处：《黑龙江医学》2012年第6期447-449,共3页Heilongjiang Medical Journal

摘　　要：目的探讨新生儿缺氧缺血性脑病(HIE)临床分度和CT分度的不同,及对预后的影响。方法对59例有围产期窒息史新生儿的诊断、临床资料、CT影像和预后,进行回顾性分析。结果当CT分度和临床分度均为重度时,有2例死亡,其余存活者均有不同程度后遗症,发生率为100%;在CT为重度而临床分度为中度时,后遗症的发生率为66.7%;而在CT为中度临床为重度组,后遗症发生率为33.3%;CT分度和临床都为中度时,后遗症发生率为20%。上述数据说明,HIE的病情和预后与CT的分度密切相关。结论 CT分度对病情的判断及预后的评估有重要的价值,在临床分度与CT分度不符时,对患儿病情的判断和预后的评估应以CT诊断和分度为主。Objective To investigate the correlation between clinical and CT grading with prognosis in patients with hypoxic-ischemic encephalopathy.Methods The data of 59 patients with hypoxic-ischemic encephalopathy were retrospectively studied.Results Two patients with severe scales by clinical and CT grading died,the occurrence of long-term disabilities was 100%.When it was mild by CT grading,the occurrence of long-term disabilities was 66.7%.When it was mild by CT grading and severe by clinical grading,the occurrence of long-term disabilities was 33.3%.When it was mild by clinical and CT grading,the occurrence of long-term disabilities was 20%.Conclusion CT plays an important role to predict the outcome of hypoxic-ischemic encephalopathy.

关 键 词：缺氧缺血性脑病 临床分度 CT分度 

分 类 号：R722[医药卫生—儿科]