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目的:观察新生儿缺血缺氧性脑病(hypoxicischemicencephalopathy,HIE)患儿的眼底改变,以了解两者间的联系。方法:对102例(204只眼)HIE患儿用托品酰胺散瞳后,直接检眼镜进行眼底检查。结果:77例(154只眼)眼底有改变,25例(50只眼)未见异常。眼底改变主要表现为:视乳头水肿,视网膜缺血,视网膜血管改变和视网膜出血。结论:在中、重度HIE患儿常有眼底改变。
Objective: To observe the changes of fundus in neonates with hypoxic-ischemic encephalopathy (HIE) to understand the relationship between them. Methods: 102 children (204 eyes) with HIE children with tropicamide mydriasis, the direct ophthalmoscope fundus examination. Results: There were changes in the fundus of 77 eyes (154 eyes) and no abnormalities in 25 eyes (50 eyes). Fundus changes mainly as: papilledema, retinal ischemia, retinal vascular changes and retinal hemorrhage. Conclusion: There are often fundus changes in children with moderate and severe HIE.