住院早产儿头颅SCT分析.pdfVIP

Journal of Medical Forum Vo1．29 No．5 March 2008 · ll· 住院早产儿头颅SCT分析 陆 林△，张小安 ，赵 鑫 郑州大学公共卫生学院 郑州市 450052 摘要 目的 探讨早产儿头颅SCT表现及特点。方法 对200例早产儿头颅SCT检查结果及窒息、实际 胎龄的关系进行分析。结果 ①本组早产儿脑实质密度较正常足月儿低 ，头颅低密度发生率具普遍性 (100％)。②窒息组中低密度值~6Hu者为97例，占85．7％。③早产儿实际胎龄越小，头颅CT分度越重(P 0．05)。④本组颅内出血：SAH 62例，IPH 10例，IVH 8例，SDH 3例。⑤本组HIE病灶余布：双额叶96例，双颞 叶4o例，双顶叶6例，枕叶l5例。⑥HIE合并颅内出血：SAH 5例，IVH 5例，IPH 8例，SDH 3例。结论 ①头颅 CT低密度改变为早产儿固有特点，有窒息史可使脑白质密度更低，早产儿实际胎龄越小，低密度范围分布越广 泛，头颅CT分度越重。②早产儿颅内出血部位依次为：SAH、IPH、IVH、SDH等。③诊断早产儿HIE头颅低密度 ≤16Hu为合适。@HIE病灶首先累及双额叶，其次为顶叶、颞叶、枕叶。⑤HIE合并SAH最常见，中、量度HIE 合并颅内出血发生率高，轻度HIE较少。 ’ 关键词 早产儿；头颅；体层摄影术；x线计算机；分析 中图分类号：R816．92 文献标识码：A 文章编号：1672—3422(2008)05-00l1-03 Analysis of Head SCT for Inpatients of Premature Infant LU Lin，ZHANG Xiaoan，ZHAO Xin College ofPublic Health，Zhengzhou University，Zhengzhou 450052，China ABSTRACT OMective To investigate the CT findings and features of premature infants． Methods The relationship between the results of SCT examination for 200 cases of inpatients of pre· mature infant and asphyxia and actual gestational age was analyzed．Results e cerebral density in premature infant was lowerthan that in normal term infant．The low density change ofpremature infant was generally occurred(100％)．②In asphyxial group，97 cases the numerical number of low density ≤16Hu(85．7％)．~The smaller the actual gestation in premature infant was，the more severe degree the head CT showed(P0．05)．~The distribution of intracranial hemorrhage in study group was：62 cases in SAH，10 cases in IPH，8cases in IVH，3 cases in SDH．~The distribution of HIE lesion was： 96 cases in double frontal lobe，40 cases in double temporal lobe，6 cases in parietal lobe，15