新生儿缺氧缺血性脑病200例CT表现分析

目的 分析新生儿缺氧缺血性脑病（HIE）的CT表现。方法 200例HIE患儿均作头颅CT扫描，并分别在病灶部位测量CT值。结果 200例HIE患儿头颅CT改变主要为脑白质低密度，可合并颅内出血或透明隔间隙增宽以及脑梗塞。其中轻度118例，中度67例，重度15例。合并颅内出血87例。结论 根据新生儿宫内窒息缺氧病史及临床表现，结合头颅CT表现，一般脑损害的诊断即可成立。

Clinical analysis of CT features in 200 neonates with hypoxic-ischemic encephalopathy (HIE)

Objective To analyze the CT features of HIE in neonates. Methods CT scanning was performed in 200 neonates with HIE. Results The CT features in 200 HIE were hypo - attenuated substantia alba, accompanied with intra - cranial hemorrhage, widened cavity of septum pellucidum and cerebral infarction. In total 200 cases, mild HIE was found in 118 cases, moderate HIE was revealed in 67 cases and severe condition was observed in 15 cases. Intra - cranial hemorrhage was noted in 87 cases. Conclusion The cerebral injury should be diagnosed by the findings of hypo - attenuated substantia alba and intracranial hemorrhage on CT scan, combined with clinical histories and manifestations of intro ?uterine neonate asphyxia.