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窒息新生儿128例临床和头颅CT分析 被引量:1

Analysis of the clinic manifestation and intracranial CT of 1 28 asphyxia neonatorum
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摘要 目的:探讨窒息新生儿和新生儿缺氧缺血性脑病(hypoxia-ischemia encephalopathy,HIE)与头颅CT表现之间的关系。方法:依据Apgar评分和宫内窘迫及HIE诊断分度标准,用SPSS 11.0分析。结果:窒息新生儿的HIE发生率为91.4%,HIE的临床分度与头颅CT分度差异有显著性(P<0.005),有宫内窘迫的HIE临床分度与头颅CT分度差异亦有显著性(P<0.005),颅内出血与HIE分度有一定关系(P<0.005)。结论:凡有窒息者出生后有必要进行头颅CT检查。HIE的诊断不能完全依据临床,必须和头颅CT相结合。 Objective:To explore the relationship between the newbom mad hyoxia-ischemia encephalopathy(HIE) and intracranial CT, Methods : The analysis was made on the basis of Apgar grading,uterine distress and standards of HIE diagnosis grading, using SPSS 11.0. Results: The occurrence of HIE was 91.4 % in t he asphxia newborn. There was a great difference(P 〈 0. 005) between HIE clinic manifestation and intracranial CT grading, but HIE clinic manifestation with uterine distress wass consistent with intracranial CT grading( P 〈 0,005 ), Intracranial haemorrhage was directly related to HIE grading ( P 〈 0.01 ), Conclusions: It is recommended that the asphyxiated newborn be performed intracranial CT examination. HIE diagnosis should not be completely based on clinic manifestation, but combined with intracranial CT exanaination.
出处 《蚌埠医学院学报》 CAS 2005年第5期431-433,共3页 Journal of Bengbu Medical College
关键词 新生儿窒息 脑缺氧 脑缺血 断层摄影术 X线计算机 asphyxia noonatorum cerebral anoxia cerebral ischemia tomogTaphy, X-ray computed
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