窒息新生儿128例临床和头颅CT分析

Analysis of the clinic manifestation and intracranial CT of 128 asphyxia neonatorum

摘要: 目的: 探讨窒息新生儿和新生儿缺氧缺血性脑病(hypoxia-ischemia encephalopathy,HIE)与头颅CT表现之间的关系。方法: 依据Apgar评分和宫内窘迫及HIE诊断分度标准,用SPSS 11.0分析。结果: 窒息新生儿的HIE发生率为91.4%,HIE的临床分度与头颅CT分度差异有显著性(P<0.005),有宫内窘迫的HIE临床分度与头颅CT分度差异亦有显著性(P<0.005),颅内出血与HIE分度有一定关系(P<0.005)。结论: 凡有窒息者出生后有必要进行头颅CT检查。HIE的诊断不能完全依据临床,必须和头颅CT相结合。

Abstract: Objective: To explore the relationship between the newborn and hypoxia-ischemia encephalopathy(HIE) and intracranial CT.Methods: The analysis was made on the basis of Apgar grading,uterine distress and standards of HIE diagnosis grading,using SPSS 11.0.Results: The occurrence of HIE was 91.4% in the asphyxia newborn.There was a great difference(P<0.005) between HIE clinic manifestation and intracranial CT grading,but HIE clinic manifestation with uterine distress wass consistent with intracranial CT grading(P<0.005).Intracranial haemorrhage was directly related to HIE grading(P<0.01).Conclusions: It is recommended that the asphyxiated newborn be performed intracranial CT examination.HIE diagnosis should not be completely based on clinic manifestation,but combined with intracranial CT examination.