缺氧缺血性脑损伤, 足月儿, 基底节, 脑白质," /> 缺氧缺血性脑损伤, 足月儿, 基底节, 脑白质,"/> Hypoxic ischemic brain damage, Term infant , Basal ganglia , White matter,"/> <span style="line-height:2;font-size:14px;">高级心肺复苏后新生儿缺氧缺血性</span><span style="line-height:2;font-size:14px;">脑损伤的临床及影像学特征研究</span>
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发育医学电子杂志  2013, Vol. 1 Issue (3): 144-149    
  围产医学   论著 |新生儿 |
高级心肺复苏后新生儿缺氧缺血性脑损伤的临床及影像学特征研究
王英杰 毛健
中国医科大学附属盛京医院新生儿科,沈阳110004
Clinical and imaging characteristics of neonatal hypoxic ischemic brain damage after major cardiopulmonary resuscitation
WANG Ying-Jie,MAO Jian
China Medical University Affiliated Shengjing Hospital,Shenyang 110004, China
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摘要 【摘要】目的 探讨经高级心肺复苏后的新生儿缺氧缺血性脑损伤的临床及影像学特征。方法 总结2004年至2012年中国医科大学附属盛京医院收治的19例经过高级心肺复苏史的缺氧缺血性脑损伤 (HIBD)患儿资料,对其临床及影像学特点进行分析。结果 HIBD患儿多伴多器官功能受累,最常受累的系统为循环系统,其次为呼吸、泌尿和消化系统;早期多出现神经系统症状,表现为肌张力异
常,意识状态改变,原始反射异常及惊厥,呼吸暂停的发生概率最低;脑损伤类型多种多样,脑白质损伤95%(18119),基底节、丘脑损伤90%(17/19)及脑干损伤63%(12/19)较常见,94.7%的患儿存在两种及两种以上混合型损伤。结论详细而准确的围产期病史及临床神经系统观察对HIBD诊断尤为重要,临床多伴多器官功能受累,存在多种神经系统症状;最常见的损伤部位为脑白质区,其次为基底节一丘脑区,两种以上混合型损伤多见。
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关键词:  缺氧缺血性脑损伤')" href="#">缺氧缺血性脑损伤  足月儿  基底节  脑白质    
Abstract: 【Abstract】Objectives This study was designed to analyze the clinical and imaging characteristics of neonatal hypoxic ischemic brain damage(HIBD)after major cardiopulmonary resuscitation.Methods Clinical data of nineteen infants after major cardiopulmonary resuscitation and hypoxic ischemic brain damage confirmed by MRI in Shengjing hospital were anylyzed from 2004 to 2012 to understand the clinical and imaging characteristics.Results The infants of HIBD usually accompanied by multiple organ involements.The circulatory system was affected most frequently,followed by respiratory,urinary and digestive system injuries.Abnormal muscle tone,consciousness abnormalities,abnormal reflex and convulsion were seen in HIBD.The incidence of apnea Was obviously rare.The types of brain injury are multiple,including white matter injury95%
(18119),basal ganglia-thalamus injury 90%(17/19)and brain stem injury 63%(12/19).94.7%of patients had more than two types of mixed injury.Conclusion Detailed perinatal history and clinical nervous system observation are particularly important for the diagnosis of HIBD.The patients always have multiple organ involvements.The most common injury site is white matter,followed by basal ganglia—thalamus,and mixed injury is common.
Key words:  Hypoxic ischemic brain damage')" href="#">Hypoxic ischemic brain damage    Term infant    Basal ganglia    White matter
收稿日期:  2013-05-19                出版日期:  2013-07-30      发布日期:  2019-09-06      期的出版日期:  2013-07-30
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王英杰 毛健. 高级心肺复苏后新生儿缺氧缺血性脑损伤的临床及影像学特征研究[J]. 发育医学电子杂志, 2013, 1(3): 144-149.
WANG Ying-Jie, MAO Jian. Clinical and imaging characteristics of neonatal hypoxic ischemic brain damage after major cardiopulmonary resuscitation. Journal of Developmental Medicine(Electronic Version), 2013, 1(3): 144-149.
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