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目的探讨螺旋CT诊断新生儿缺血缺氧性脑病(HIE)在基层医院的应用。方法回顾分析144例临床拟诊为新生儿HIE病例,其中拟诊缺血缺氧性脑病75例,合并其他疾病69例,行螺旋CT诊断及治疗后复查。结果144例CT发现脑内低密度影,呈局灶样36例,呈弥漫分布105例;并颅内出血32例,小斑点出血或蛛网膜下腔出血27例,脑室内出血3例,硬膜下出血2例。12例患者1～4周复查CT,脑实质内低密度区复查后消失,出血病灶吸收,脑肿胀消退。结论螺旋CT可帮助HIE诊断,判断病情轻、重,并对治疗效果观察比较,有助于基础医院的HIE的诊断及治疗。
Objective To investigate the application of spiral CT in the diagnosis of neonatal hypoxic-ischemic encephalopathy (HIE) in primary hospitals. Methods Retrospective analysis of 144 cases of clinically diagnosed as neonatal HIE cases, including suspected hypoxic ischemic encephalopathy in 75 cases, combined with other diseases in 69 cases, spiral CT diagnosis and review after treatment. Results 144 cases of intracranial hypocalcemia were found in CT scan, showing focal lesions in 36 cases with diffuse distribution in 105 cases, intracranial hemorrhage in 32 cases, small spot bleeding or subarachnoid hemorrhage in 27 cases, intraventricular hemorrhage in 3 cases, subdural Bleeding in 2 cases. Twelve patients underwent CT examination 1 to 4 weeks later, disappeared after the review of low-density intraparenchymal area, absorption of hemorrhagic lesions and subsidence of brain swelling. Conclusion Spiral CT can help diagnose HIE, determine the severity of the disease, and observe and compare the therapeutic effect, which is helpful for the diagnosis and treatment of HIE in the basic hospital.