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本文报告采用头颅超声诊断2例脑缺氧后发生严重脑梗死的新生儿,并随访观察,报告如下。 例1 男,20天,G_1P_1,35周早产,胎头吸引,生后无窒息,出生体重2504g。母乳喂养,生后20天因拒奶,哭闹,面色发绀来院就诊,患儿反应差,时有屏气,肺部有较多湿啰音,拟诊新生儿肺炎、败血症入院。入院第二天出现四肢及面部抽痉,患儿反应差,有屏气,入院第3天～4抽痉仍频繁,因呼吸不规则,心率减慢,给于气管插管人工呼吸抢救。实验室检查:血红蛋白8.7g/dl,白细胞24800,中性62％,淋巴 27％,血小板2万,胸片:两肺有斑点状阴影。脑脊液检查:细胞数0,蛋白100mg,糖42mg,氯化物670mg。血培养:无菌生
This paper reports the use of head ultrasound two cases of cerebral infarction after cerebral ischemia in neonates, and follow-up observation, the report is as follows. Example 1 male, 20 days, G_1P_1, 35 weeks premature birth, fetal head attraction, postnatal asphyxia, birth weight 2504g. Breastfeeding, 20 days after birth due to refusal to milk, crying, looking cyanotic hospital, poor response in children, when there is breath holding, the lungs have more wet rales, the proposed diagnosis of neonatal pneumonia, sepsis admission. On the second day of hospitalization, limbs and facial spasm appeared, with poor response in children and breathlessness. Admission was still frequent on day 3 ~ 4 of antispasmodic spasms. Due to irregular breathing and slow heart rate, artificial respiration was given to endotracheal intubation. Laboratory tests: hemoglobin 8.7g / dl, white blood cells 24800, 62% neutral, lymphatic 27%, platelets 20,000, chest radiograph: the two lungs have a speckled shadow. Cerebrospinal fluid examination: cell number 0, protein 100mg, sugar 42mg, chloride 670mg. Blood culture: sterile students