Neonatal hypoxic-ischemic encephalopathy CT study.doc

 PAGE \* MERGEFORMAT 7 Neonatal hypoxic-ischemic encephalopathy CT study [Abstract] Objective To study the neonatal hypoxic-ischemic encephalopathy (HIE) of the CT diagnosis and differential diagnosis as well as the value of CT values. Methods 45 cases of HIE children row CT scan, to obtain a complete clinical and CT diagnosis of information to be analyzed. The results of CT manifestations mainly white matter lesions, divided into three degrees, subarachnoid hemorrhage is the most common complications. Conclusion CT examination of the newborn is a simple, fast, easy way to check is a reliable basis for diagnosis and treatment of HIE. [Keywords:] newborn; hypoxic-ischemic encephalopathy; CT Neonatal hypoxic-ischemic encephalopathy (HIE) is due to a variety of perinatal factors and cerebral blood flow of oxygen reduction or suspension of a result of neonatal brain damage, full-term children more common, leading to children’s nervous system injury One common cause of disability. Home country reported in the literature, in the neonatal asphyxia positive rate of CT examination in 94% ~ 100% [1], CT scans can show extent of the lesion, density, and complications are diagnosed with HIE of the most effective method. 1 Data and methods 1.1 General Information The group of 45 neonates, 37 males and 8 females, the incidence within 1h after birth in 18 cases, 1 ~ 24h 20 Li, 24h and above 7 cases, 26 cases of fetal distress, asphyxia at birth in 9 cases, umbilical cord around neck or umbilical cord prolapse in 5 patients, there are obstetrical forceps delivery and the rise of attracting 5 cases. 1.2 Methods Siemens HIQ model CT machine to Frankfort line is the baseline upward continuous scanning, voltage 120kV, current 55MA, matrix 512 * 512, window width 80Hu, window level 40Hu, thickness 10mm, if necessary, 5mm, restless before scanning in children 20 ~ 30min to give 10% chloral hydrate solution, 15 ~ 20ml dilution of 1 ~ 2 times the retention enema