新生儿缺氧缺血性脑病的CT表现及预后评估

目的:探讨足月新生儿缺氧缺血性脑病(HIE)的CT及临床表现与预后。方法:对40例临床确诊为HIE的足月新生儿进行CT检查及分度,并结合临床表现及分度对预后进行评估。结果:脑水肿低密度区的形态、大小、范围更具有诊断价值,也是预后评估的基础之一。结论:CT扫描对本病的诊断、病情估计、疗效观察及预后判断有重要临床价值。

Study on CT findings and prognoses evaluation of neonatal hypoxic ischemic encephalopathy

Objective:To investigate the CT and clinical manifestation as well as the prognoses evaluation of full-term newborn HIE(hypoxic ischemic encephalopathy).Methods:40 cases full-term newborns diagnosed with HIE were examined by CT scan and sub-degree,the prognoses were evaluated combining clinical symptoms and degree.Results:The brain edema shape,size and scope in low-density areas had more diagnostic value,and it was also one of the basis of assessment about prognosis.Conclusion:CT-scan has important clinical value in diagnosis of this disease,estimation of pathogenetic condition,observation of therapeutic effect and judgement of prognosis.