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新生儿缺氧缺血性脑病CT动态表现(附80例分析)
引用本文:彭薇,邹松.新生儿缺氧缺血性脑病CT动态表现(附80例分析)[J].福建医药杂志,2006,28(1):9-10.
作者姓名:彭薇  邹松
作者单位:福建医科大学附属协和医院CT室,350001
摘    要:目的提高对新生儿缺氧缺血性脑病CT影像表现的认识,探讨新生儿缺氧缺血性脑病在不同时间段内CT影像的变化。方法收集来我院进行检查的缺氧缺血性脑病患儿80例,最早于产后5小时扫描,最迟于1岁后复查,观察其不同时期CT表现的变化。结果早期(发病0~6天内)主要表现为脑内低密度灶、脑实质水肿以及颅内不同部位出血;中期(发病7~14天)前述病灶表现为部分低密度灶好转、出血吸收;15天后为后遗症表现,局部脑萎缩、软化灶形成,部分轻度病例可表现正常。结论新生儿缺氧缺血性脑病的CT表现随时间变化有其演变过程,正确认识影像表现对临床治疗及预后评估有很大意义。

关 键 词:新生儿  缺氧缺血性脑病  CT
文章编号:1002-2600(2006)01-0009-02

Evaluation of dynamic CT in newborns with hypoxic ischemia encephalothy
Peng Wei,Zou Song.Evaluation of dynamic CT in newborns with hypoxic ischemia encephalothy[J].Fujian Medical Journal,2006,28(1):9-10.
Authors:Peng Wei  Zou Song
Institution:Department of CT, Affiliated Union Hospital of Fujian Medical University, Fuzhou 350001, China
Abstract:Objective To evaluate dynamic CT in newborns with HIE.Methods CT examinations were performed in 80 neonates with HIE,and CT appearanses were observed and analysised at different stages.Results Lower density,brain edema and hemorrhage were observed at early stage(0-6 d).Lower density and hemorrhage decreased at the second stage(7-14 d).At last stage,a part of neonates returned to normal and cellular necrosis was legacy in some neonates.Conclusion CT appearanses vary at different stages.It is highly correlate with outcome.
Keywords:Neonate  Hypoxic ischemia encephalothy  CT
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