颅脑超声对新生儿颅内出血的诊断价值  

Diagnostic value by craniocerebral ultrasound for neonatal intracranial hemorrhage

作　　者：闫媛媛[1] 丁枚[1] 石伟波[1] 谷小乐 

机构地区：[1]河南省郑州市中心医院超声科,450052

出　　处：《中国实用医药》2016年第26期3-5,共3页China Practical Medicine

基　　金：河南省科技攻关项目(项目编号:132102310101)

摘　　要：目的探讨颅脑超声对诊断新生儿颅内出血的临床价值。方法对196例疑似颅内出血的新生儿（早产儿127例,足月儿69例）进行超声检查,观察检测结果。结果 196例疑似颅内出血的新生儿病例中,超声诊断颅内出血111例,患病率（56.6%）;早产儿颅内出血患病率高于足月儿,比较差异有统计学意义（χ^2=9.247,P〈0.05）;早产儿和足月儿颅内出血部位和脑室出血程度的构成比比较差异均无统计学意义（χ^2=3.023,U=0.351,P〉0.05）。结论颅脑超声具有早期诊断和动态观察新生儿颅内出血的优势,可作为首选方法。Objective To investigate clinical value by craniocerebral ultrasound for neonatal intracranial hemorrhage. Methods A total of 196 newborn（127 premature infants and 69 term infants）with suspected intracranial hemorrhage received ultrasonic examination, and their outcomes were observed. Results Among 196 newborn with suspected intracranial hemorrhage, 111 cases with intracranial hemorrhage diagnosed by ultrasound, with morbidity as 56.6%. Premature infants had higher morbidity of intracranial hemorrhage than term infants, and the difference had statistical significance（χ^2=9.247, P〈0.05）. There was no statistically significant difference of constituent ratio by intracranial hemorrhage position and ventricular hemorrhage severity between premature and term infants（χ^2=3.023, U=0.351, P〈0.05）. Conclusion Craniocerebral ultrasound contains advantages of early diagnosis and dynamic observation for neonatal intracranial hemorrhage, and this method can be taken as the preferred measure.

关 键 词：超声检查 新生儿 颅内出血 

分 类 号：R445.1[医药卫生—影像医学与核医学] R722.151[医药卫生—诊断学]