头颅CT对缺氧缺血性脑病诊断及预后评估  

Diagnostic and Prognostic Value of Cephal CT for Hypoxicisehemic Encephalopathy

作　　者：袁增权[1] 饶鸣皋[1] 

机构地区：[1]安徽省巢湖市第二人民医院儿科,安徽巢湖238000

出　　处：《内蒙古医学杂志》2003年第6期506-507,共2页Inner Mongolia Medical Journal

摘　　要：目的 :评价头颅CT对缺氧缺血性脑病 (HIE)的诊断及预后价值。方法 :对 1997年 1月～ 2 0 0 1年 12月在儿科住院临床诊断HIE。 37例行头颅CT检查。结果 :轻度异常 8例 ,中度异常 14例 ,重度异常13例 ,正常 2例 ,异常中伴颅内出血 13例 ;治愈 2 1例 ,自动出院 12例 ,死亡 4例 ;随访 7例中有 1例正常 ,6例见不同程度脑软化 ,表现为脑瘫伴智力低下 4例 ,痉挛 2例。结论 :头颅CT检查对HIE明确诊断提供了可靠的客观依据 ,并对评估预后有一定意义 。Objective:To evaluate the diagnostic and prognostic value of cephal CT for hypoxicischemic encephalopaty. Methods:From January 1997 to December 2001,the cephal CT was performed on 37 childen with HIE in our hospital.Results:Among these patients,there were 8 minimal abnormal cases,14 medium abnormal cases,13 serious cases and 2 normal ones.Intracarnial hemorrhage was found in 13 out of the abnormal patients.There were 21 cure,12 automatic discharge and 1 death Cerebromalacia was found in 6 out of 7 follow-up patients including 4 cerebral palsy and mental deficiency,2 spasm and 1 normal case .Conclusion:Cephal CT is valuable for dignosis and estimation of prognosis of HIE.

关 键 词：头颅CT检查 缺氧缺血性脑病 诊断 预后 新生儿 

分 类 号：R748[医药卫生—神经病学与精神病学] R816.1[医药卫生—临床医学]