颅脑超声在新生儿颅内出血诊断中的应用价值

目的：探讨颅脑超声在新生儿颅内出血诊断中的应用价值。方法选取2014年1月至2015年5月来我院接受诊治的疑似有颅内出血的新生儿120例,同时进行超声和 CT 检查,探讨两种检查方法对颅内出血的检出率,同时分析患儿构成和患儿超声表现。结果120例新生儿共检出颅内出血者64例,检出率为53.33%；超声检出率为95.31%,CT 检出率为92.19%(P >0.05)；64例患儿中,脑室管膜下出血者39例,伴脑室内出血者15例,伴脑室扩大者5例,脑实质出血者2例,蛛网膜下腔出血者2例,硬脑膜下出血者1例,脑室出血病例明显多于其他部位出血的病例；按照新生儿颅内出血分级标准,其中：I 级者39例,II 级者15例,III 级者5例,Ⅳ级者2例。结论利用超声诊断新生儿颅内出血,具有检出率高、无辐射、无创伤、经济性以及可重复检查的优点,在新生儿颅内出血常规筛查中具有较高的应用价值,值得推广。

The application value of cerebral ultrasound in the diagnosis of neonatal intracranial hemorrhage

Objective To study the application value of ultrasound in the diagnosis of neonatal intracranial hemorrhage. Methods There are 120 cases of neonatal with intracranial hemorrhage is suspected in our hospital from January 2014 to May 201 5.They are examinated by ultrasound and CT at the same time for discussing the detection rate of two methods.And the a-nalysis of composition and sonographic findings in children was carried at the same time.Results A total of 120 infants,64 ca-ses of intracerebral haemorrhage were detected,that is,the detection rate is 53.33%.Ultrasonic detection rate is 95.31%,while the CT detection rate is 95.31% (P >0.05).In 64 cases,there are 39 cases with ventricle tube membrane bleeding,1 5 cases with intraventricular hemorrhage,5 cases with ventricular expansion,2 cases with parenchymal hemorrhage,2 cases with sub-arachnoid hemorrhage and 1 case with subdural hemorrhage.Intraventricular hemorrhage cases is significantly more than the other bleeding cases.According to the classification standard of neonatal intracranial hemorrhage,among them:class Ⅰ39 ca-ses,class Ⅱ1 5 cases,class Ⅲ 5 cases,class Ⅳ 2 cases.Conclusion The use of ultrasound diagnosis of neonatal intracranial hemorrhage is characterized by a high detection rate,no radiation,no trauma,economy,and repeatable inspection.It has high application value in routine screening of neonatal intracranial hemorrhage and it is worth promoting.