经头颅CT检查的围产期窒息儿及某些高危儿近期随访研究

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本文对一组在新生儿早期经头颅CT检查的围产期窒息儿及某些高危儿共21例进行了一年左右的短期随访。探讨新生儿期颅内病变与今后发育影响的关系。结果显示轻至重度异常11例,正常10例。其中硬膜下出血及脑缺氧缺血损伤患儿多数示正常或轻度异常;唯一存活的一例Ⅱ级脑室内出血患儿显示轻度异常;脑实质出血继发孔洞脑者预后较差。所有患儿对体格发育几乎无影响,但头围发育应予注意,6例头围小者均有轻至重度异常。本文结果初步显示围产期窒息及其他高危因素所致颅内病变对今后智力运动发育的影响。 In this paper, a group of 21 patients with perinatal asphyxia and some high-risk infants with early CT scan were followed up for about a year. Explore the relationship between neonatal intracranial lesions and future development. The results showed mild to severe abnormalities in 11 cases, normal in 10 cases. Among them, the majority of children with subdural hemorrhage and hypoxic-ischemic brain damage showed normal or mild abnormalities; the only surviving child with grade II intraventricular hemorrhage showed mild abnormality; the prognosis of cerebral parenchymal hemorrhage with secondary holes was poor. All children have little effect on physical development, but the development of the head circumference should be noted that the 6 cases of the first small circumference of the head circumference are mild to severe abnormalities. The results of this preliminary study show that perinatal asphyxia and other risk factors of intracranial lesions on the impact of future intellectual sports development.
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