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目的:观察颅脑超声对新生儿颅内出血的临床诊断价值。方法:选择广州市花都区第二人民医院2016年1月至2017年1月收治的150例疑似有颅内出血的新生儿作为研究对象,对所有患儿实施颅内超声和计算机断层扫描(CT)检测,并对检测结果进行比较分析。结果:在150例疑似有颅内出血的新生儿中,共确诊120例颅内出血患儿(80%),颅内超声检测出115例(95.83%)。120例患儿中,根据新生儿颅内出血标准分级:Ⅰ级60例,Ⅱ级36例,Ⅲ级22例,Ⅳ级2例;脑室内出血72例,脑室管膜下出血30例,脑实质出血6例,硬膜下出血5例,蛛网膜下腔出血2例;漏诊5例,包括硬膜下出血1例,蛛网膜下腔出血1例,小脑出血3例。结论:颅脑超声对新生儿颅内出血具有良好的临床诊断效果。
Objective: To observe the clinical diagnosis of intracranial hemorrhage in neonates with intracranial ultrasound. Methods: A total of 150 newborns with intracranial hemorrhage suspected to have intracranial hemorrhage admitted from January 2016 to January 2017 in Second People’s Hospital of Huadu District of Guangzhou City were enrolled in this study. All children underwent intracranial ultrasound and computed tomography (CT ) Test, and test results for comparative analysis. Results: Among 150 newborn infants suspected to have intracranial hemorrhage, 120 children with intracranial hemorrhage (80%) were confirmed and 115 (95.83%) were detected by intracranial ultrasound. 120 cases of children, according to neonatal intracranial hemorrhage criteria classification: Ⅰ grade 60 cases, Ⅱ grade 36 cases, Ⅲ grade 22 cases, Ⅳ grade 2 cases; 72 cases of intraventricular hemorrhage, subependymal hemorrhage in 30 cases, cerebral parenchymal hemorrhage 6 cases, 5 cases of subdural hemorrhage, 2 cases of subarachnoid hemorrhage; 5 cases of missed diagnosis, including 1 case of subdural hemorrhage, 1 case of subarachnoid hemorrhage and 3 cases of cerebellar hemorrhage. Conclusion: Cranial ultrasound has a good clinical diagnosis of neonatal intracranial hemorrhage.