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65例临床诊断为缺氧缺血性脑病(HIE)的患儿,其中49例行头颅CT检查,诊断符合率为97.96%,与临床分度符合率仅为59.18%。30例行NBNA检查,HIE轻度患儿两次评分均较中、重度患儿评分高,两者比较有显著差异,HIE越重,NBNA评分越低。28例行BAEP检查,HIE患儿各波潜伏期及Ⅰ─Ⅲ、Ⅲ─Ⅴ波间期均比对照组延长2SD以上,HIE越重,其BAEP各波潜伏期延长越明显。HIE患儿,脑CT可以从形态上,NBNA、BAEP可从功能上早期反映其脑损伤情况。
Among 65 children with hypoxic-ischemic encephalopathy (HIE), 49 were examined by skull CT, the coincidence rate was 97.96% and the coincidence rate with clinical index was only 59.18%. 30 cases of NBNA examination, mild HIE two scores were higher than those in children with moderate and severe scores, there was a significant difference between the two, HIE heavier, NBNA score lower. 28 cases of routine BAEP examination, HIE children with each wave latency and Ⅰ ─ Ⅲ, Ⅲ -Ⅴ wave interval than the control group extended more than 2SD, HIE heavier, the BAEP wave latency was more obvious. HIE in children, brain CT can be morphologically, NBNA, BAEP can reflect its early brain damage performance.