摘要
目的应用颅脑超声的方法观察早产儿和足月儿颅内出血部位和程度构成比,探讨颅脑超声对新生儿颅内出血的诊断价值。方法选取2010年1月—2013年1月期间收治并在出生后3 d接受内颅脑超声检查的新生儿140例,所有患儿均经螺旋CT检查确诊为新生儿颅内出血。回顾性分析这些新生儿的颅脑超声声像图资料,分析其影像学特点,对比其出血部位和各危险因素的构成比。使用SPSS 13.0进行统计学分析,计数资料采用χ2检验。结果新生儿颅内出血最常见发生部位是脑室,次之为脑实质,硬膜下出血最少见,其差异有统计学意义,P<0.05;早产儿和足月儿颅内出血在出血部位和脑室出血程度上,差异无统计学意义,P>0.05。结论采用颅脑超声诊断方法能够很好地对新生儿颅内出血的情况进行判断,及时给临床医师提供治疗依据,从而提高新生儿颅内出血的治愈率,降低患儿病死率和后遗症发生率。
Objective To investigate the clinical value of uhrasonography in the diagnosis of intracranial hemorrhage. Methods From Jan 2010 to Jan 2013,140 cases of infants with intracranial hemorrhage within 3 days after birth were examined with uhrasonography. These cases of intracranial hemorrhage had been confirmed with CT. The data of ultra- sonography were analyzed retrospectively. Results 32 cases with intracranial hemorrhage, 2 cases with cerebral hemor- rhage and 1 case with subdurM hemorrhage in premature infants. There were 98 cases with intracranial hemorrhage and 7 cases with cerebral hemorrhage in premature infants. There was no significant difference in types of ICH and grade of 1VH between premature infants and term infants. Conclusion The uhrasonography had significant clinic value in the diagnosis of intracranial hemorrhage.
出处
《中华全科医学》
2014年第1期111-112,158,共3页
Chinese Journal of General Practice
关键词
超声诊断
新生儿颅内出血
临床价值
Ultrasound diagnosis
Intracranial hemorrhage
Clinical value
