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本文通过对60例临床诊断为新生儿颅内出血及30例正常对照作头颅CT检查及远期体格智能发育随访,探讨诊断结果与临床表现及预后评估之间的关系。结果提示颅内出血部位及程度与原发病及胎龄有关,出血广泛并有HIE者,CT复查可有脑萎缩表现并远期智能发育不良;单纯少量蛛网膜下腔出血可自行吸收,CT复查正常,共精神运动发育不受影响。故认为CT检查可作为新生儿颅内出血的诊断、分型及预后判断时实际可靠的辅助方法。
In this paper, 60 cases of clinical diagnosis of neonatal intracranial hemorrhage and 30 cases of normal controls for craniocerebral CT examination and follow-up of long-term physical development of intelligence to explore the diagnostic results and clinical manifestations and prognosis of the relationship between evaluation. The results suggest that the location and extent of intracranial hemorrhage and primary disease and gestational age related to extensive bleeding and have HIE, CT review may have brain atrophy and long-term intelligent dysplasia; a small amount of subarachnoid hemorrhage can be absorbed by themselves, CT review Normal, a total of mental development is not affected. Therefore, CT examination can be used as a reliable and reliable auxiliary method for neonatal intracranial hemorrhage diagnosis, classification and prognosis.