首页|超声在新生儿早期脑损伤诊断和治疗方面的应用研究

超声在新生儿早期脑损伤诊断和治疗方面的应用研究

Application of ultrasound in diagnosis and treatment of early neonatal brain injury

扫码查看
目的 分析超声在新生儿早期脑损伤诊断和治疗方面的应用研究.方法 对本院在2022年1月~2022年7月收治的60例高危新生儿患儿进行分析,所有患儿均行超声检查,分析超声检查的相关指标.结果 60例高危新生儿中有43例(71.67%)发生脑损伤,其中23例(38.33%)发生缺氧缺血性脑病,19例(31.67%)发生颅内出血,1例(1.67%)发生心室扩张;超声检查显示脑水肿11例,脑室周围白质软化9例,丘脑和基底节损伤1例,脑梗死2例.PVH和IVH各5例,脑实质出血2例;蛛网膜下腔出血1例,硬膜下出血1例.随着胎龄的降低,白质损伤和颅内出血的可能性增加.妊娠年龄越大,患脑水肿的可能性越大.结论 超声在新生儿脑损伤的早期诊断具有准确性高、无独创性、操作简单、重复性好等优点.
Objective To analyze the application of ultrasound in the diagnosis and treatment of early neonatal brain injury. Methods A total of 60 high-risk newborn children admitted to our hospital from January 2022 to July 2022 were analyzed. All the children underwent ultrasound examination, and the relevant indexes of ultrasound examination were analyzed. Results Among the 60 high-risk neonates, 43 (71.67%) had brain injury, among which 23 (38.33%) had hypoxic-ischemic encephalopathy, 19 (31.67%) had intracranial hemorrhage, and 1 (1.67%) had ventricular dilatation. Ultrasonography showed 11 cases of cerebral edema, 9 cases of periventricular leukomalacia, 1 case of thalamus and basal ganglia injury, and 2 cases of cerebral infarction. 5 cases of PVH and IVH, 2 cases of cerebral parenchymal hemorrhage; Subarachnoid hemorrhage in 1 case and subdural hemorrhage in 1 case. As gestational age decreases, the likelihood of white matter injury and intracranial hemorrhage increases. The older the gestational age, the greater the likelihood of cerebral edema. Conclusion Ultrasound has the advantages of high accuracy, unoriginality, simple operation and good repeatability in the early diagnosis of neonatal brain injury.

ultrasounda newbornearly brain injurydiagnosistreatmentapplied research

刘秀娟

展开 >

河北省黄骅市人民医院超声科,河北 黄骅 061100

超声 新生儿 早期脑损伤 诊断 治疗 应用研究

2023

科学养生
中国医院管理杂志社

科学养生

影响因子:0.019
ISSN:1672-9714
年,卷(期):2023.26(2)
  • 10