目的 探讨新生儿缺氧缺血性脑病(HIE)临床与CT之间的关系.方法 将HIE的临床表现与CT表现进行对比分析,统计学方法为Kappa检验,秩和检验.结果 新生儿HIE的临床分度与CT分度存在一致性,早产儿与足月儿HIE分度比较差异无统计学意义,低出生体重儿与正常体重儿HIE的CT分度比较差异有统计学意义.HIE程度越重,脑出血的发生率越高.结论 HIE临床分度和CT分度具有一定的一致性,低出生体重儿与正常体重儿比较通常病情较重,临床分度重者更易并发颅内出血.%Aim To explore the relationship between clinical symptom and CT display of neonatal hypoxic-ischemic encephalopathy.Methods CT and clinical classifications of HIE were contrasted by kappa test and rank sum test. Results CT degrees were very similar to clinical degrees. There was no obvious difference between premature infant category and that of mature infant. There was an obvious difference of HIE CT categories between low-birth-weight infants and normal-weight infants. Incidence of intracranial hemorrhage was higher in serious cases of HIE. Conclusion CT degrees of HIE were very similar to clinical degrees. Clinical degrees of low-birth-weight infants were more serious than that of normal-weight infants. Intracranial hemorrhage was more likely to happen in serious cases.
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