床旁头颅B超在基层医院的应用  

Application of bedside ultrasonic examination of head in primary hospital

作　　者：张文良 王妮坤 钱会萍 Zhang Wenliang;Wang Nikun;Qian Huiping(Department of Pediatrics,the People's Hospital of Kaiyuan City,661600)

机构地区：[1]开远市人民医院儿科,661600

出　　处：《中国社区医师》2017年第27期118-119,共2页Chinese Community Doctors

摘　　要：目的:探讨床旁头颅B超在基层医院的应用。方法:选择早产儿152例及窒息患儿47例,行床旁头颅B超检查。结果:152例早产儿总脑室内出血(IVH)发生率52.6%(80/152),重度IVH发生率13.7%(11/152);胎龄越小,IVH发生率越高。47例窒息患儿脑损伤阳性率63.8%(30/47),窒息程度越重,脑损伤发生率越高。结论:床旁头颅B超具有快速、无创、诊断率高等特点,可作为基层医院对新生儿脑损伤进行早期筛查的首选。Objective:To explore the application of bedside ultrasonic examination of head in primary hospital.Methods:152premature infants and47children with asphyxia were selected.They were examined by bedside ultrasonic examination of head.Results:In152premature infants,the incidence of total IVH(intraventricular hemorrhage)was52.6%(80/152),and the incidenceof severe IVH was13.7%(11/152);the smaller the gestational age,the higher the incidence of IVH.In47children with asphyxia,thepositive rate of brain injury was63.8%(30/47),and the higher the degree of asphyxia,the higher the incidence of brain damage.Conclusion:Bedside ultrasonic examination of head had the characteristics of rapid,non-invasive and high diagnostic rate.It canbe used the first choice examination for early screening of neonatal brain injuries in primary hospitals.

关 键 词：新生儿 头颅B超 临床分析 

分 类 号：R722[医药卫生—儿科]