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新生儿和幼儿的脑部计算机断层扫描。

Computerized axial tomography of the brain in neonates and young infants.

作者信息

Milstein J M, Rennick J, Goetzman B W

出版信息

Surg Neurol. 1977 Jul;8(1):59-62.

PMID:888078
Abstract

Twenty critically ill infants with abnormal head growth and/or seizures underwent CAT of the brain. Signs of birth asphyxia or respiratory distress were present in all. Six out of ten infants with abnormal size of the head had abnormal CAT scans. Nine out of ten infants with seizures had abnormal scans. Abnormalities included hydrocephalus, intraventricular hemorrhage, cerebral edema, subarachnoid hemorrhage and porencephaly. Six infants required neurosurgical procedures. Development at two to 15 months of age in the 19 surviving infants was normal in nine, suspect in eight, and severely delayed in two patients. Until the prognosis of the various CNS disorders discussed is clearly defined, aggressive management appears indicated.

摘要

20名头部生长异常和/或患有癫痫的重症婴儿接受了脑部计算机断层扫描(CAT)。所有婴儿均有出生时窒息或呼吸窘迫的迹象。10名头围异常的婴儿中有6名CAT扫描结果异常。10名患有癫痫的婴儿中有9名扫描结果异常。异常情况包括脑积水、脑室内出血、脑水肿、蛛网膜下腔出血和脑穿通畸形。6名婴儿需要接受神经外科手术。19名存活婴儿在2至15个月龄时,9名发育正常,8名疑似发育迟缓,2名严重发育延迟。在明确所讨论的各种中枢神经系统疾病的预后之前,似乎需要积极的治疗。

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1
Computerized axial tomography of the brain in neonates and young infants.新生儿和幼儿的脑部计算机断层扫描。
Surg Neurol. 1977 Jul;8(1):59-62.
2
[Value of computerized axial tomography of the brain in children born with asphyxia (author's transl)].[计算机断层扫描在窒息新生儿脑部检查中的价值(作者译)]
Arch Fr Pediatr. 1981 Oct;38(8):591-6.
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[Postasphyxia cerebral changes in the newborn infant. The significance of tomographic hypodensity].[新生儿窒息后脑改变。断层扫描低密度的意义]
Radiol Med. 1982 Oct;68(10):737-42.
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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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5
The prognostic value of computed tomography as an adjunct to assessment of the term infant with postasphyxial encephalopathy.
J Pediatr. 1981 Nov;99(5):777-81. doi: 10.1016/s0022-3476(81)80410-6.
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7
[Brain damage in asphyxiated newborn infants: early diagnosis. A follow-up study].
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Computerized axial tomography in clinical pediatrics.
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Intraventricular hemorrhage in the neonate born at term.足月儿新生儿脑室内出血
Am J Dis Child. 1979 Sep;133(9):941-4. doi: 10.1001/archpedi.1979.02130090069013.
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Clinical significance of ventriculomegaly in children who suffered perinatal asphyxia with or without intracranial hemorrhage: an 18 month follow-up study.围产期窒息伴或不伴颅内出血患儿脑室扩大的临床意义:一项18个月的随访研究
J Comput Assist Tomogr. 1981 Oct;5(5):663-73. doi: 10.1097/00004728-198110000-00013.