新生儿缺氧缺血性脑病和颅内出血的CT分析及其预后评估

目的　探讨新生儿缺氧缺血性脑病 (Hypoxicischemicencephalopathy ,HIE)和颅内出血的关系及评估其预后。 方法　选择 5 2例经临床及CT证实为HIE的住院患儿进行分析评估。结果　轻度 14例 ,中度 17例 ,重度 2 1例。SAH 3 1例 ;SDH 2 5例 ,ICH 5例 ,SEH及IVH 3例。完全恢复或逐渐恢复者 2 4例 ,不良后遗症者 17例 ,死亡者 11例。结论　中度及重度HIE合并颅内出血的几率较高 ,而且可同时合并两种形式以上的颅内出血 ;中度、重度HIE预后不良且死亡的几率高 ,尤其是伴有两种形式以上的颅内出血者预后更差

CT Analysis on Newborn Hypoxic Ischemic Encephalopathy, Intracanial Hemorrhage and Their Prognosis

Objective To discuss the relation between newborn hypoxic ischemic encephalopathy (HIE) and intracanial hemorrhage, and to evaluate their prognosis. Methods Analysis was carried out on 52 HIE inpatients diagnosed through clinical and computerized tomography (CT) means. Results The 52 HIE inpatients consisted of 14 mild,17 moderate and 21 severe ones.As for intracanial hemorrhage, subarachnoid hemorrhage (SAH) was found in 31,subdural hemorrhage (SDH) in 25,intracerebral hemorrhage (ICH) in 5,and subependymal and intraventricular hemorrhage (SHE/IVH) in 3 ones.There were 24 patients who recovered completely or gradually,17 ones who suffered from sequelae,and 11 who died. Conclusion It is showed that moderate and severe newborn HIE be likely complicated by intracanial hemorrhage including 2 kinds of intracanial hemorrhage occurring simultaneously, which indicates bad prognosis and high mortality.