【摘要】 目的:通过CT影像资料评价新生儿缺氧缺血性脑病与颅内出血量的关系及其预后。方法:收集1998~2006年临床诊断为缺氧缺血性脑病70例新生儿患者的CT资料,观察CT图像显示的脑出血量,分析不同程度的缺氧缺血性脑病和出血部位与颅内出血量和预后的关系。结果:新生儿缺氧后轻、中度出血在1~2周内均可完全吸收,发生在基底节或大脑白质区域的重度出血预后较差。结论:颅内出血量与窒息缺氧程度呈正相关;发生在不同部位的出血,其预后不同。更多还原

【Abstract】 Objective:To evaluate the relationship among computer tomography(CT) images on different levels of neonatal hypoxic-ischemic encephalopathy and intracranial hemorrhage volume and evaluation of the prognosis.Methods:CT data of 70 cases with the clinical diagnosis of hypoxic-ischemic encephalopathy were collected from 1998 to 2006,and the volume of intracerebral hemorrhage was estimated based on the CT images.The relationship between different levels of hypoxic-ischemic encephalopathy and intracranial hemorrhage was analyzed.Results:The neonatal hypoxic-ischemic encephalopathy with mild to moderate bleeding at 1-2 weeks could be completely absorbed.The patients with severe hemorrhage in the basal ganglia or white matter region had poor prognosis.Conclusion:Positive correlation is found between intracranial hemorrhage volume and the levels of neonatal hypoxic-ischemic encephalopathy.The prognosis is different for different degree and different location of intracranial hemorrhage.更多还原