头颅CT检查对新生儿颅内出血早期诊断的意义

Clinical Significance of Head CT Examination Of Neonatal Intracanial Hemorrhage

摘要: 目的分析CT对于新生儿颅内出血的诊断价值。 材料和方法: 搜集我院临床考虑新生儿颅内出血并行CT及B超检查的患儿487例,其中头颅CT诊断出血者401例,B超检查诊断颅内出血者239例。结果 CT的检出率明显高于B超的检出率,但有61例(占12.5%)患儿B超检出而CT未检出。结论 CT检出率明显高于B超,但对于脉络丛出血不如B超敏感。因此对临床怀疑新生儿颅内出血者应先行头颅CT检查,结果阴性者应补充头颅B超检查,以防漏诊。

Abstract: Objective To analyse CT diagnostic value of neonatal intracranial hemorrhage. Materials and Methods 487 cases suspected with neonatal intracranial hemorrhage were collecded by CT and Ultrasound. 401 cases neonatal intracranial hemorrhage by CT, and 239 by ultrasound. Results CT diagnosis rate is higher than ultrasound,but 61 cases only by ultrasound. Conclusion CT is the most effective way to neonatal intracranial hemorrhage.For plexus choroideus hemorrhage,it is sensitive to be not as good as ultrasound..Neonate suspected with intracranial hemorrhage should be examed by head CT.If CT were negative,ultrasound should be replenished in order to avoid leakage.