新生儿缺氧缺血性脑病248例临床分析  

Clinical Analysis of 248 Cases with Neonatal Hypoxic Ischemic Encephalopathy

作　　者：黄惠清[1] 

机构地区：[1]佛山市第一人民医院儿科,广东佛山528000

出　　处：《华夏医学》2004年第1期23-25,共3页Acta Medicinae Sinica

摘　　要：目的 :探讨新生儿缺氧缺血性脑病的病因及预后判断指标。方法 :回顾分析了 2 4 8例儿科住院的新生儿缺氧缺血性脑病 (hypoxic ischem ic encephalopathy,HIE)患儿的分娩史、部分病例的酶学检查、CT影像学表现和临床 HIE的分度。结果 :HIE患儿的酶异常升高 ;有异常分娩史及临床重度 HIE的患儿预后较差。结论 :异常分娩史是 HIE发病的主要原因。异常分娩史及临床 HIE分度可以作为预后判断的指标。Objective:To explore the caues and the prognosis of neonate with hypoxic ischemic encephalopathy(HIE).Methods:248 cases hospitalized from 1999.1 to 2002.12 were chosen.The data of pregnancy,enzyme examination,CT examination and HIE clinical gradation were analyzed respectively.Results:The enzyme of HIE inpatients rose remarkably.The prognosis of abnormal pregnancy or HIE clinical gradation showed the worse state.Conclusions:Abnormal pregnancy is a major factor resulting in HIE.We can judge the prognosis of HIE inpatients by abnormal pregnancy and HIE clinical gradation.CT examination can not be used as the index to judge the prognosis.

关 键 词：新生儿 缺氧缺血性脑病 异常分娩 预后 

分 类 号：R722.1[医药卫生—儿科]