摘要
目的:探讨婴儿维生素K缺乏致颅内出血的CT表现、发病机理和转归。材料与方法:46例婴儿临床资料完整,随访0.6～3年,分析颅内出血及其转归的CT特点。结果:单纯硬膜下血肿(SDH)6例,脑内血肿(IPH)11例,蛛网膜下腔出血(SAH)+脑室内出血(IVH)3例,SDH+IPH8例,SDH+SAH3例,SDH+SAH+IPH11例,SDH+IVH+IPH2例,SDH+IVH+IPH+SAH2例。其中双枕部及大脑镰SDH呈“铁锚征”6例,脑室铸型出血3例;合并脑疝12例,大面积脑梗塞9例。随访死亡7例,单纯脑萎缩4例,脑软化6例,脑萎缩并软化9例,脑积水4例,CT表现正常16例。结论:CT检查可准确显示颅内出血部位、范围及程度,为临床治疗及预后评价提供依据。
Objective- To investigate CT appearances, pathogenesis and sequelae of late onset of intra-cranial hemorrhage in infants with vitamin K deficiency. Materials and Methods： Forty-six infants with clinical integral data and follow-up of 0.6-3 year were collected in the study, the CT features and sequelae of intra-cranial hemorrhage were evaluated. Results：There were 6 cases with single subdural hematoma（SDH）, 11 cases with intra-cerebral hematoma（IPH）, 3 cases with subarachnoid hemorrhage （SAH） and ventricular hemorrhage（IVH）, 8 cases with SDH and IPH, 3 cases with SDH and SAH, 11 cases with SDH, SAH and IPH, 2 cases with SDH, IVH and IPH, 2 cases with SDH, SAH, IPH and SAH, there were 6 cases with iron-anchor sign of both occipital and cerebral SDH, 3 cases with casting mold IVH, 12 cases with cerebral hernia and 9 cases with a large area cerebral infarction. There were 7 cases died, 4 cases of solitary brain atrophy, 6 cases of cerebral malaeia, 9 cases with brain atrophy and cerebral malacia, 4 cases of hydrocephalus, 16 cases who were normal in follow-up examination. Conclusion： CT examination can clearly demonstrate the location, extent and degree of intra-cranial hemorrhage,provide evidence for clinical treatment and prognostic assessment.
出处
《中国临床医学影像杂志》
CAS
北大核心
2005年第8期428-430,共3页
Journal of China Clinic Medical Imaging
