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1986.12～1988.3我院新生儿病室经B超诊断新生儿缺氧缺血性脑病96例,其中同时伴颅内出血20例,肾上腺出血1例。24例作2～5次B超随访观察,8例恢复正常,4例好转,4例无变化,4例脑实质囊性变,2例脑梗塞,1例脑实质萎缩,1例脑空洞。脑电图检查4例,异常(中度低幅度)3例,正常1例。临床表现以兴奋、抑制、抽痉、呼吸暂停为主,部分病婴无特殊症状。作者认为对Ⅱ期病婴的管理至关重要。
1986.12 ~ 1988.3 96 cases of neonatal ward diagnosed neonatal hypoxic-ischemic encephalopathy by B-ultrasound, including 20 cases of intracranial hemorrhage and 1 case of adrenal hemorrhage. Twenty-four patients were followed up for 2 to 5 years. Eight of them returned to normal, 4 improved, 4 had no change, 4 had cystic degeneration of the brain, 2 had cerebral infarction, 1 had atrophy of the brain and 1 had cerebral voids. EEG examination in 4 cases, abnormal (moderate low amplitude) in 3 cases, normal in 1 case. Clinical manifestations of excitement, inhibition, spasm, apnea-based, some sick infants without special symptoms. The authors believe that the management of Ⅱ sick baby is essential.