目的　讨论新生儿缺氧缺血性脑病 (HIE)合并颅内出血的CT表现特点及其预后。方法　对 64例HIE合并颅内出血的病人进行了追踪复查 ,并分析其CT表现特点。结果　本组 64例HIE中 ,单纯蛛网膜下腔出血 5 3例 ,1个月后复查 ,均恢复正常。 1例仅可见脑室内出血 ,10例为混合性出血 (其中SAH +IVH 3例 ,IVH +IPH 1例 ,SAH +IPH 2例 ,SAH +SHE 2例 ,SAH +SDH 2例 )。在 10例混合性出血中 ,随访复查发现仅 1例恢复正常 ,其他 9例中 ,1例死亡 ,8例均有脑软化 ,脑萎缩 ,脑穿通畸形 ,脑钙化灶等不可逆性后遗症的表现。结论　不同类型的颅内出血 ,其预后有一定的差别。 Objective To discuss the CT features and prognosis of neonatal hypoxic-ischemic encephalopathy (HIE) complicated with intracranial hemorrhage. Methods 64 cases of HIE with intracranial hemorrhage were followed up and analyzed the CT features. Results In the 64 cases of HIE, simple subarachnoid hemorrhage in 53 cases, 1 month after the review, were back to normal. Only one patient had intracerebral hemorrhage and 10 patients had mixed hemorrhage (SAH + IVH in 3, IVH + IPH in 1, SAH + IPH in 2, SAH + SHE in 2 and SAH + SDH in 2). In 10 cases of mixed hemorrhage, follow-up review found that only 1 case returned to normal. Of the other 9 cases, 1 died and 8 cases had irreversible sequelae such as cerebral atrophy, brain atrophy and cerebral calcification. Conclusion Different types of intracranial hemorrhage, the prognosis of a certain difference.