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本文对 1 79例新生儿缺氧缺血性脑病 ( HIE)患儿的临床分度与头颅 CT分度之间的关系进行分析 ,结果表明 :新生儿 HIE的临床分度与 CT分度的一致性较差 ;早产儿与足月儿 HIE临床分度比较无显著差异 ;低出生体重儿与正常体重儿 HIE发病程度与临床分度比较 ,有显著性差异 ;颅内出生的发生与 HIE病变程度成正比 ,而出血类型与 HIE的程度无关。提示 :HIE是多因素致病 ,其中以窒息为首要病因 ,且宫内窘迫所致的 HIE引起的脑损伤较出生时窒息重 ;HIE的临床分度与 CT分展一致性差 ,是否与病理长短不同或 CT检查时间错开有关 ,有待探讨 ;HIE的轻重程度与胎龄无关 ,而与出生体重有关 ,体重越低 HIE越严重 ;HIE的程度与颅内出血呈平行趋势 ,与出血类型无关 ,而出血类型与胎龄有关
In this paper, the relationship between clinical index and cranial CT index was analyzed in 1 79 neonates with hypoxic-ischemic encephalopathy (HIE). The results showed that the clinical index of neonatal HIE was consistent with the CT index Sexual poor; HIE clinical preterm infants and full-term children was no significant difference in the classification; low birth weight infants and normal weight children HIE incidence and clinical index, there was a significant difference; the occurrence of intracranial and HIE lesions Is proportional to the type of bleeding has nothing to do with the extent of HIE. HIE is a multifactorial pathogenic disease, of which asphyxia is the main cause, and intrauterine distress caused by HIE-induced brain injury than asphyxia at birth; HIE clinical index and CT scoring consistency is poor, whether the pathological length Different or CT scan time staggered, to be explored; HIE severity has nothing to do with gestational age, and birth weight, lower body weight HIE more severe; HIE level and intracranial hemorrhage showed a parallel trend, has nothing to do with the type of bleeding, and bleeding Type and gestational age related