摘要
目的：研究新生儿蛛网膜下腔出血的ＣＴ表现，提示新征象。材料和方法：对１１０例新生儿蛛网膜下腔出血（ＳＡＨ）的ＣＴ平扫资料，分析不同的出血和积血部位形成的不同ＣＴ图像特征。并与６０例成人ＳＡＨ的ＣＴ表现加以对照。结果：发现三个特殊ＣＴ征象：（１）矢状窦旁征（Δ征）８７例（７９．０％）－血液积聚于矢状窦及窦汇旁。（２）天幕缘征（Ｙ征）５５例（５０．０％）－血液积聚于小脑天幕缘上下。（３）边缘模糊征９１例（８２．７％）－血液积聚于纵裂池内，深入至大脑半球内侧面脑沟内。结论：蛛网膜下腔出血由于出血部位不同可形成不同的ＣＴ表现。作者提出三个新征象：矢状窦旁征，天幕缘征，边缘模糊征。对新生儿蛛网膜下腔出血的诊断有重要价值。
Purpose: A study of CT manifestation of SAH(Subarachoid Space Hemorrhage) in new born was undertaken with new signs suggested. Materials and Methods: The plain CT scans of 110 cases of SAH in new born were analysed resulting in different CT image charateristic due to various kinds and positions of the hemorrhage. Furthermore a comparision with those of the 60 adult SAH cases was also included. Results: The discovery of 3 specific CT findings. (1) parasagittal sinus sign (△Sign) 87 cases (79.0%)-blood accumulated in sagittal sinus and parasinusoid space. (2) tenting border sign (Y Sign), 55 cases (50.0%)-blood accumulated along the superier and inferior parts of the cerebellar tenting border. (3) border blurring sign, 91 cases (80.7%)-blood accumulation within the longitudinal fissure cietern deepering into the internal sulci of the cerebral hemispheres.Conclusion: There were different kinds of CT manifestations of SAH according to the sites of the hemorrhages. The authors presented 3 new specific signs. parasagittal sinus sign, tenting border sign and border blurring sign. All of them posscessed the important value in diagnosing SAH of the new born.
出处
《中国医学计算机成像杂志》
CSCD
1995年第1期18-20,共3页
Chinese Computed Medical Imaging
