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遭受围产期窒息的早产儿和足月儿的计算机断层扫描与尸检之间的相关性。

Correlation between computed tomography and autopsy in premature and full-term neonates that have suffered perinatal asphyxia.

作者信息

Flodmark O, Becker L E, Harwood-Nash D C, Fitzhardinge P M, Fitz C R, Chuang S H

出版信息

Radiology. 1980 Oct;137(1 Pt 1):93-103. doi: 10.1148/radiology.137.1.7422867.

DOI:10.1148/radiology.137.1.7422867
PMID:7422867
Abstract

The findings at autopsy were correlated with the computed tomographic (CT) diagnosis in 90 neonates that had suffered perinatal hypoxia and had CT within 10 days before autopsy. CT was accurate in the diagnosis of supratentorial hemorrhage whether it was subependymal, intraventricular, or intracerebral. Infratentorial hemorrhage was difficult to detect or localize with accuracy. Correlation between areas of hypodense brain tissue seen on CT and areas of ischemic brain damage other than hemorrhage at autopsy was poor. Diagnosis of generalized cerebral edema by CT, however, was very good.

摘要

对90例围产期缺氧且在尸检前10天内进行过计算机断层扫描(CT)的新生儿,尸检结果与CT诊断结果进行了对比。CT对幕上出血的诊断很准确,无论是室管膜下、脑室内还是脑实质内出血。幕下出血很难准确检测或定位。CT上低密度脑组织区域与尸检时除出血外的缺血性脑损伤区域之间的相关性较差。然而,CT对广泛性脑水肿的诊断效果很好。

相似文献

1
Correlation between computed tomography and autopsy in premature and full-term neonates that have suffered perinatal asphyxia.遭受围产期窒息的早产儿和足月儿的计算机断层扫描与尸检之间的相关性。
Radiology. 1980 Oct;137(1 Pt 1):93-103. doi: 10.1148/radiology.137.1.7422867.
2
CT diagnosis and short-term prognosis of intracranial hemorrhage and hypoxic/ischemic brain damage in neonates.新生儿颅内出血及缺氧缺血性脑损伤的CT诊断与短期预后
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Subependymal germinal matrix and intraventricular hemorrhage in premature infants: diagnosis by CT.早产儿室管膜下生发基质及脑室内出血:CT诊断
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[Diagnosis and follow-up studies by computed tomography in hemorrhage of germinal matrix of newborns (author's transl)].
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Preliminary results of a computed tomography study of neonatal brain hypoxia--ischemia.新生儿脑缺氧缺血的计算机断层扫描研究初步结果
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[Cranial CT scanning in perinatal asphyxia and some high-risk neonates].[围产期窒息及部分高危新生儿的头颅CT扫描]
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Children (Basel). 2021 Mar 16;8(3):227. doi: 10.3390/children8030227.
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Fifty years of brain imaging in neonatal encephalopathy following perinatal asphyxia.围产期窒息后新生儿脑病的五十年脑成像研究
Pediatr Res. 2017 Jan;81(1-2):150-155. doi: 10.1038/pr.2016.195. Epub 2016 Sep 27.
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Cerebellar hemorrhagic injury in premature infants occurs during a vulnerable developmental period and is associated with wider neuropathology.早产儿小脑出血发生在易损的发育阶段,与更广泛的神经病理学有关。
Acta Neuropathol Commun. 2013 Oct 21;1:69. doi: 10.1186/2051-5960-1-69.
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Improved neurosensory outcome at 8 years of age of extremely low birthweight children born in Victoria over three distinct eras.在三个不同时期于维多利亚州出生的极低出生体重儿童8岁时神经感觉结局得到改善。
Arch Dis Child Fetal Neonatal Ed. 2005 Nov;90(6):F484-8. doi: 10.1136/adc.2004.063362. Epub 2005 May 17.
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Optic disc morphology may reveal timing of insult in children with periventricular leucomalacia and/or periventricular haemorrhage.视盘形态可能揭示脑室周围白质软化症和/或脑室周围出血患儿的损伤时间。
Br J Ophthalmol. 2003 Nov;87(11):1345-9. doi: 10.1136/bjo.87.11.1345.
7
In re: Barkovich AJ. MR and CT evaluation of profound neonatal and infantile asphyxia. AJNR Am J Neuroradiol 1992; 13:959-72.关于:巴尔科维奇AJ。新生儿和婴儿重度窒息的磁共振成像和计算机断层扫描评估。《美国神经放射学杂志》1992年;13:959 - 72。
AJNR Am J Neuroradiol. 2000 May;21(5):979-81.
8
Risk factors in the development of intraventricular haemorrhage in the preterm neonate.早产儿脑室内出血发生的危险因素。
Arch Dis Child. 1982 Jun;57(6):410-7. doi: 10.1136/adc.57.6.410.
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Temporal comparative analysis of computed tomography with ultrasound for intracranial hemorrhage in premature infants.早产儿颅内出血的计算机断层扫描与超声检查的时间对比分析
Neuroradiology. 1983;24(4):205-11. doi: 10.1007/BF00399772.
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Can perinatal asphyxia cause cerebral edema and affect cerebral blood flow velocity?围产期窒息会导致脑水肿并影响脑血流速度吗?
Eur J Pediatr. 1984 Apr;142(1):29-32. doi: 10.1007/BF00442586.