新生儿缺氧缺血性脑病136例分析

目的提高对新生儿缺氧缺血性脑病(HIE)的认识。方法对136例新生儿HIE进行临床分析。结果经临床治疗,显效91例(66.9%),有效33例(24.3%),无效12例(8.8%,包括死亡6例)。随访1年,脑瘫14例,脑积水4例,癫痫2例,智力低下6例,6月后复查头颅CT结果为发育不良12例,脑室扩大或脑积水4例,软化灶6例,孔洞脑4例。结论对HIE患儿在争取早期诊断,早期治疗的同时,加强恢复期治疗可降低后遗症的发生。

Clinical analysis of 136 newborns with hypoxic-ischemic encephalophy

Objective To improve the knowledge of clinical physician for the newborns' hypoxice-ischemic encephalophy (HIE).Methods A retrospective analysis was perfoemed in 136 HIE newborns hospitalized in our pediatrist.Results After a combined therapy, marked effects in 91cass(66.98%),responded to therapy in 33 cases (24.3%)and no effects in 12 cases (8.8%,including of 6 died cases)were obtained.One year after followed-up,the paralysis was 14 cases,hydrocephalus was 4 cases,mental retadation was 6 cases.Six months later,the result of the head CT were displasia in 12 cases,hydrocephalus in 4 cases,encephalomalacia in 6 cases and cerebrapprosis in 4 cases.Conclusion The early diagnosis and treatment,and strengthen the treatment for convalescence phase may decrease thesequelae.