摘要
目的:总结分析新生儿蛛网膜下腔出血(SAH)的CT特点,以提高诊断正确性。方法:回顾分析45例资料齐全的新生儿蛛网膜下腔出血CT表现、出血类型和临床意义。结果:45例SAH中,原发性39例,继发性6例,合并缺氧缺血性脑病20例,显示脑积水者4例。结论:新生儿SAH适时的CT检查大多具有典型表现,诊断符合率可达95%;但有时可有假阴性;并应与纵裂、直窦相鉴别。
Objective： To summarize and analyze the CT characteristics of newborn subarachnoid hemorrhage （ SAH ） , and to raise the rate of correct diagnosis. Methods： CT manifestations, hemorrhage type, and clinical significance of 45 cases of newborn SAH with complete data were analyzed retrospectively. Results： In the 45 cases of SAH,39 cases were primary, 6 cases were secondary. And 20 cases of SAH were complicating with hypoxic - ischemic encephalopathy ,4 cases of SAH showed hydrocephaly. Conclusion： Timely CT examination in newborn SAH most has typical manifestations, and the diagnostic accordance rate could reach 95%. Howerer, the result may be false - negative sometime, which should be differentiated with interhemispheric cistern and straight sinus.
