摘要
目的 探讨新生儿缺氧缺血性脑病 (HIE)患儿临床表现及CT分度对预后的影响。方法 分析 6 4例HIE患儿临床表现及CT分度对预后的影响 ,与同期收治的HIE非残儿进行了对照。结果 ①临床表现为轻、中、重度的致残率分别为 6 .2 5 %、2 9.0 3%、6 4 .71%。②CT改变正常、轻度、中度、重度患儿的致残率分别为 5 .2 6 %、10 %、2 5 %和 73.6 8%。③重度窒息 (生后 1分钟Apgar评分 <3)、临床表现重度、CT改变重度估测HIE预后不良的准确性分别为 70 .31%、79.6 8%和 85 .93%。结论 重度窒息、CT改变和临床表现重度患儿发生残疾的可能性较大 。
Objective To study the effect of clinical manifestation and CTgraduating on the prognosis of children with neonatal hypoxic ischemic encephalopathy(HIE).Methods The effect of clinical manifestation and CTgraduating on the prognosis of64HIE children was contˉrasted with that of homochronous non-handicapped children.Results ①The disablement rates of children with mild,medium,and severe clinical manifestation were respectively6.25%,29.03%,and64.71%.②The disablement rates of children with normal,mild,medium,and severe CT changes were respectively5.26%,10%,25%,and73.68%.③The accuracy of the prediction of unfavorable HIE prognosis with severe asphyxia(Apgar score<3points one minute after birth),severe clinical manifestation,and severe CT changes were respectively70.31%,79.68%,and85.93%.Conclusion Children with serve asphyxia,severe CT changes and clinical manifestation are probably to be disabled.Therefore,it is necessary to take early interventional measures.
出处
《宁夏医学杂志》
CAS
2004年第7期408-410,共3页
Ningxia Medical Journal
关键词
新生儿
脑缺血
脑缺氧
预后
Neonate
Cerebral ischemia
Cerebral anoxia
Prognosis
