陕西医学杂志2011，Vol.40Issue(2)：163-165,3.
超声在新生儿缺氧缺血性脑病早期诊断及疗效评估中的应用
Application of early diagnosis and curative effect for HIE ultrasonography
段世玲 1周平安 1张振显1
作者信息
- 1. 陕西省延安大学附属医院,延安716000
- 折叠
摘要
Abstract
Objective: To investigate sonographic appearance and the changes of hemodynamics of HIE, also to comprehensively evaluate its application in the brain damage after blrth asphyxia and observe the condition of active. Methods :Take advantage of a two-dimensional ultrasound , color doppler (CDFI, and energy doppler(CDE)and the doppler frequency(PW)to observe and contrast 58 cases which were newly born babies with HIE and 20 normal ones about the change of brain parenchyma, size of lateral ventricle and the blood parameters after 48 hours , 3 to 4 days , and part of them following up to 12 months. Results : 46 of the HIE cases display the enhancement of brain parenchyma in different degrees. The shape and size of cerebral ventricle vary according to different conditions. 7 of the brain parenchyma hemorrhage; 4 lateral ventricle hemorrhage ; one hard-faced probe hemorrhages and one arachnoid hemorrhages. There were no obvious differences between the HIE group and contrast group in the brain bloodstream spectrum and dynamics parameter. All of speed of blood drops and resistance index increases (P＜ 0. 05) except one severe HIE case who presents hyperperfusion syndrome. When we follow up to 12 months, 2 of them form cystic lesions in brain parenchyma; 2 of their lateral ventricle expands and 5 babies' lateral ventricle expand slightly and there were no evidence of being.Conclusion:The skull ultrasound is the best way to make early diagnosis and make dynamic follow-up.关键词
缺氧缺血,脑/诊断/超声检查,多普勒,彩色/婴儿,新生分类
医药卫生引用本文复制引用
段世玲,周平安,张振显..超声在新生儿缺氧缺血性脑病早期诊断及疗效评估中的应用[J].陕西医学杂志,2011,40(2):163-165,3.
