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1994年~1997年我院新生儿病房收治确诊为新生儿脑损伤临床治愈出院患者81例,其中64例接受智能和头颅CT随访,现报道如下。 1 对象和方法 对4年来新生儿病房中有宫内窒息或产时、产后窒息,Apgar评分<7分,临床表现有中枢神经系统症状、体征者做头颅CT检查。共做152例,异常者81例,其中接受随访的64例脑损伤的类型分别为:蛛网膜下腔出血(SAH)45例,脑水肿(BE)11例,脑实质出血(IPH)5例,脑室管膜下-脑室内(SFH-IVH)3例。男38例,女26例;早产儿24例(其中极低体重儿3例),足月小样儿11例,足月正常体重儿29例;随访年龄1 10/12~3 4/12岁。
From 1994 to 1997, 81 newborns ward admitted to our hospital were diagnosed as clinically discharged from neonates with brain injury. Among them, 64 patients underwent intelligent and cranial CT follow-up and are reported as follows. 1 objects and methods of neonatal ward in 4 years with intrauterine asphyxia or labor, postpartum asphyxia, Apgar score <7 points, the clinical manifestations of central nervous system symptoms, signs of head CT examination. A total of 152 cases, 81 cases of abnormalities, of which 64 cases were followed up for the type of brain injury were: 45 cases of subarachnoid hemorrhage (SAH), 11 cases of brain edema (BE), 5 cases of intraparenchymal hemorrhage (IPH) , Subependyma - intraventricular (SFH-IVH) in 3 cases. There were 38 males and 26 females; 24 preterm infants (including 3 with very low birth weight), 11 full-term infants, and 29 full-term normal infants. The follow-up ages ranged from 10/12 to 34/12 years.