De Vries L S, Regev R, Connell J A, Bydder G M, Dubowitz L M
Department of Paediatric Medicine, Royal Postgraduate School, Hammersmith Hospital, London, England.
Pediatrics. 1988 Jan;81(1):36-40.
Findings on cranial ultrasonography strongly suggested the diagnosis of a localized infarct in four premature infants. CT was performed to differentiate between hemorrhagic and nonhemorrhagic lesions, and magnetic resonance imaging was used to obtain information about the late effect of the lesions. The clinical findings, imaging findings, and later outcome in these premature infants were compared with the existing knowledge of this type of lesion in the full-term infant. A localized infarct appears to carry a good prognosis in the premature infant and should be differentiated from other types of lesions, such as periventricular leukomalacia or parenchymal hemorrhage, which are more common in the premature infant and carry a worse prognosis.
头颅超声检查结果强烈提示4例早产儿存在局限性梗死。进行CT检查以区分出血性和非出血性病变，并使用磁共振成像获取有关病变后期影响的信息。将这些早产儿的临床发现、影像学发现及后期转归与足月儿中此类病变的现有知识进行比较。局限性梗死在早产儿中似乎预后良好，应与其他类型的病变相鉴别，如脑室周围白质软化或脑实质出血，这些病变在早产儿中更常见且预后更差。
