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目的探讨血清神经元特异性烯醇化酶(NSE)和头颅CT在新生儿缺氧缺血性脑病(HIE)诊断中的作用。方法HIR患儿20例,用酶联免疫法测定生后8天、7天血清NSE浓度。生后1周内行头颅CT检查。结果HIE患儿血清NSE在生后3天均升高,尤以中、重度明显,与临床分度一致。重度HIE患儿头颅CT分度与临床一致,轻、中度头颅CT分度与临床不平行。结论血清NSE测定是早期诊断HIE及判断脑损伤的有效指标,头颅CT检查结合血清NSE测定可更为准确地帮助HIE的诊断和治疗。
Objective To investigate the role of serum neuron specific enolase (NSE) and cranial CT in the diagnosis of neonatal hypoxic-ischemic encephalopathy (HIE). Methods Twenty children with HIR were enrolled in this study. Serum NSE concentrations at 8 days and 7 days after birth were measured by enzyme-linked immunosorbent assay. 1 week after birth head CT examination. Results Serum NSE in HIE children increased 3 days after birth, especially in moderate and severe, consistent with the clinical sub-degree. The head of patients with severe HIE CT index consistent with the clinical, mild and moderate head CT indexing and clinical non-parallel. Conclusion Serum NSE is an effective indicator for the early diagnosis of HIE and brain damage. The combination of skull CT and serum NSE can be used to diagnose and treat HIE more accurately.