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1987年10月至1988年9月对住院新生儿患儿155例进行了头颅B超和CT扫描的检测,发现颅内出血71例,检出率为45.8％。主要对象是严重的缺氧、感染、出血性疾病、新生儿硬肿症、惊厥、高胆红素血症和ABO溶血症及其他疾病的低出生体重儿。其中部分患儿有宫内和/或产时窒息史、异常分娩史。这些患儿临床上缺乏典型颅内出血症状和体征。142例作了B超,发现异常59例,检出率为41.5％,76例CT结果,发现异常27例,检出率为35.5％。结果表明在新生儿病房中,头颅B超应作为常规检测方法,以便早期发现颅内出血。
From October 1987 to September 1988, 155 cases of hospitalized neonates were examined by B-mode ultrasound and CT scan. 71 cases were found intracranial hemorrhage, the detection rate was 45.8%. The main targets are low birth weight infants with severe hypoxia, infection, hemorrhagic disease, neonatal scleredema, convulsions, hyperbilirubinemia and ABO hemolytic disease and other diseases. Some of them have intrauterine and / or intrapartum asphyxia, abnormal delivery history. These children lack the clinical symptoms and signs of typical intracranial hemorrhage. Of the 142 patients who underwent B ultrasound, 59 cases were abnormal, the detection rate was 41.5%. In 76 cases of CT, 27 cases were abnormal and the detection rate was 35.5%. The results show that in the neonatal ward, the skull B-ultrasound should be used as a routine test for early detection of intracranial hemorrhage.