【摘要】 目的 研究新生儿缺氧缺血性脑病后遗症的远期脑CT形态学改变。方法 对185例HIE患儿做头部CT复查，男116例，女69例，年龄：1岁5个月～3岁37例，4～10岁118例，11岁以上30例，平均6.5岁。并对其结果分析。结果 185例中，CT异常152例(82%)。CT表现分为4类：(1)脑萎缩(73%)；(2)脑软化(67.8%)；(3)脑积水(18.4%)；(4)脑钙化灶(2.6%)。结论 CT表现反映了HIE远期不可逆后遗症的病理形态学改变，为判断预后及临床治疗提供了客观依据。

    【关键词】 新生儿；缺氧缺血性脑病；后遗症；CT

    In CT analysis long-dated sequela of hypoxic ischemic encephalopathy of neonatal

    LIN Fu-hai,ZUO Guan-chao.

    The 476th Clinical Deparement of Fuzhou General Hospital of PLA,Fuzhou 350002,China

    【Abstract】 Objective To study the CT morphological changes in long-dated sequela of HIE.Methods 185 children suffer from HIE were made a long-dated callback of the head CT,male 116,female 69,age:37 of 1 year and 5 months～3 years old,118 of 4～10 years old,30 beyond 11 years old,average 6.5 years old, and the results were analysed.Results In 185 cases,152 cases of CT(82%) were abnormal,include 4 morphological changes:(1)cerebral atrophy(73%);(2)brain malacia(67.8%);(3)hydrocephalus(18.4%);(4)calcified lesions(2.6%).Conclusion CT findings reflected the pathological changes of the long-dated irreversible sequela of HIE,and provided objective basis for assessment of prognosis and clinic treatment. ......