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为了降低新生儿脑水肿 (NBE)的病死率与伤残率 ,对其病因与早期诊断作探讨以利防治。资料分析方法 :1 回顾性分析 ,尸检证实NBE 5 83例 (196 2～ 1998年 )。 2 对生后 3～ 7天经头颅CT检查确诊NBE的 6 3例作症候分析 (1998～ 1999年 )。资料显示 :1 5 83例NBE的原发病依次 :脑 2 6 7例 ,肺 2 2 3例 ,感染 5 2例 ,心 35例 ,畸形 6例。 2 6 3例CT扫描结果SAH6 0例 ,HIE 4 8例 ,IPH、脑积水各 2例 ,SDH、IVH、脑梗塞各 1例。 3 临床表现 :以兴奋或抑制、呼吸改变、青紫或苍白、肌张力异常、反射异常为明显。可以认为 :1 本组NBE的病因以缺氧为主。 2 当患儿具有窒息 ,异常分娩史 ,母为高危妊娠 ,产前、产时有合并症和生后具有上述症候者 ,应作头颅CT或超声 ,可早期诊断脑水肿
In order to reduce neonatal cerebral edema (NBE) mortality and disability rate, its etiology and early diagnosis to explore for prevention and treatment. Data analysis methods: a retrospective analysis, autopsy confirmed NBE 5 83 cases (196 2 ~ 1998). 2 pairs of postnatal 3 to 7 days by cranial CT confirmed the diagnosis of NBE 63 cases of symptomatic analysis (1998 ~ 1999). According to the data, the primary disease of 1583 NBEs was found in 267 cases of brain, 223 cases of lung, 52 cases of infection, 35 cases of heart disease and 6 cases of deformity. 263 cases of CT scan results SAH6 0 cases, HIE 48 cases, IPH, hydrocephalus in 2 cases, SDH, IVH, cerebral infarction in 1 case. 3 Clinical manifestations: excitement or inhibition, respiratory changes, bruising or pale, abnormal muscle tone, abnormal reflex was obvious. Can be considered: 1 The cause of NBE in this group hypoxia-based. 2 when children with asphyxia, abnormal delivery history, the mother of high-risk pregnancy, prenatal, intrapartum complications and postpartum with the above symptoms, should be head CT or ultrasound, early diagnosis of cerebral edema