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新生儿颅内出血的CT诊断(附69例分析) 被引量:2

CT Diagnosis of Intracranial Hemorrhage of the Newborn
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摘要 目的:提高对新生儿颅内出血CT表现的认识和诊断水平。材料与方法:对经临床确诊的94例新生儿缺氧缺血性脑损伤中69例颅内出血的CT表现进行回顾性分析研究。结果:颅内出血阳性率为73.4%。蛛网膜下腔出血42例,脑室内出血4例,脑实质出血3例,硬膜下出血2例,室管膜下出血1例,混合性出血17例。其中蛛网膜下胜出血最常见,占60%,沿纵裂的条线状高密度影或直窦、塞汇及天幕缘出现的“Y”或“V”型特殊高密度是蛛网膜下腔出血的特征性表现。结论:新生儿颅内出血的CT表现具有一定的特征性,常规颅脑CT检查有利于颅内出血的早期发现与诊断,对临床治疗及推测预后有一定价值。 Purpose:To improve the recognize and diagnosis of the CTmanifestation of intracra nial hemorrgage of the newborn,Materials and methods:The CT findlngs of 69 intracranial hem orrhage in 94 ischemic hypoxia brain injury that verified by clinic were studied.Result:the posi tive rate of intracranial hemorrhage was 73.4%.In this group 42cases had subarachnoid hemor rhage,1 case had subependymal hemorrhage,4 cases had intraventricular hemorrhage,3 cases hadintracerebral hemorrhage,2 cases had subdural hemorrhage,mixed type hemorrhage 17 cases,sub arachnoid hemorrhages were of common about 60%in all,longitudinal fissure had long streak shape high density or tentorium cerebelli had“Y”“V”shape special high density,They were re garded as characteristic signs of subarachnoid hemorrhages.Conclusion:CT findings of intracra nial hemorrhage of the newborn had definite feature,The routine of scan of the brain were helpful to early finding and diagnosis,CT scan has a certain value in therapy and evaluating prognosis.
作者 鲍家启
出处 《医学影像学杂志》 1997年第3期141-143,共3页 Journal of Medical Imaging
关键词 新生儿颅内出血 CT诊断 脑室内出血 脑实质 Newborn Intracranial hemorrhage Tomography,X-Ray computed
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