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新生儿脑梗死:超声或CT用于影像学检查?

Neonatal cerebral infarction: USS or CT for imaging?

作者信息

Stillger A, Kumar R K

机构信息

North West Regional Hospital, Burnie TAS, Australia.

出版信息

Indian J Pediatr. 1999 Jan-Feb;66(1):141-3. doi: 10.1007/BF02752373.

DOI:10.1007/BF02752373
PMID:10798047
Abstract

Neonatal cerebral infarction or neonatal stroke is the second most common cause of neonatal seizures in term new born babies. It remains one of the least recognised entities in the neonatal text books and the awareness of its existence among general practitioners and practising paediatricians is very low. Cranial Ultrasound Scan (USS) is the standard imaging used by neonatologists and many neonatal intensive care units have their own scanners. However, USS may give a false sense of security especially in the term neonates and we report a case of neonatal cerebral infarction here and the need for computerised tomography (CT) for imaging.

摘要

新生儿脑梗死或新生儿卒中是足月儿新生儿惊厥的第二大常见病因。它仍然是新生儿教科书中最不为人所知的病症之一,全科医生和执业儿科医生对其存在的认知度非常低。头颅超声扫描(USS)是新生儿科医生使用的标准成像检查,许多新生儿重症监护病房都有自己的扫描仪。然而,USS可能会给人一种虚假的安全感,尤其是在足月儿中,我们在此报告一例新生儿脑梗死病例以及使用计算机断层扫描(CT)进行成像检查的必要性。

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本文引用的文献

1
Unilateral neonatal cerebral infarction in full term infants.足月儿单侧新生儿脑梗死
Arch Dis Child Fetal Neonatal Ed. 1997 Mar;76(2):F88-93. doi: 10.1136/fn.76.2.f88.
2
Intracranial lesions in the fullterm infant with hypoxic ischaemic encephalopathy: ultrasound and autopsy correlation.足月新生儿缺氧缺血性脑病的颅内病变:超声与尸检对照研究
Neuropediatrics. 1994 Dec;25(6):301-7. doi: 10.1055/s-2008-1073044.
3
Magnetic resonance imaging in perinatal asphyxia.围产期窒息的磁共振成像
Arch Dis Child Fetal Neonatal Ed. 1995 Jan;72(1):F62-70. doi: 10.1136/fn.72.1.f62.
4
Ischaemic and haemorrhagic brain lesions in newborns with seizures and normal Apgar scores.
Arch Dis Child Fetal Neonatal Ed. 1995 Sep;73(2):F67-74. doi: 10.1136/fn.73.2.f67.
5
Focal motor seizures heralding stroke in full-term neonates.
Am J Dis Child. 1985 Jun;139(6):601-6. doi: 10.1001/archpedi.1985.02140080071035.