CAJ | 학술논문

目的：探讨婴儿捂热综合征(IMS)脑 MRI 表现及其与临床分度与预后的关系。方法回顾性分析25例 IMS 患儿初期及9例复查病例的 MRI 表现,并与临床资料对比分析。结果 MRI 能显示 IMS 患儿颅脑7种早期异常征象,其中硬膜下积液、幕上脑水肿、蛛网膜下腔出血3种征象在非危重组与危重、极危重组差异无显著性(P >0.05),而另外4种征象(皮层及皮层下异常信号、弥漫性脑实质出血、基底节及胼胝体水肿或梗死、大面积脑梗死)在非危重组与危重、极危重组差异有显著性(P <0.05),MRI分型与临床分度有一定相关性。结论 MRI 可以客观反映婴儿 IMS 脑损伤的严重情况,为临床制订治疗方案及评估预后提供重要信息。
목적：탐토영인오열종합정(IMS)뇌 MRI 표현급기여림상분도여예후적관계。방법회고성분석25례 IMS 환인초기급9례복사병례적 MRI 표현,병여림상자료대비분석。결과 MRI 능현시 IMS 환인로뇌7충조기이상정상,기중경막하적액、막상뇌수종、주망막하강출혈3충정상재비위중조여위중、겁위중조차이무현저성(P >0.05),이령외4충정상(피층급피층하이상신호、미만성뇌실질출혈、기저절급변지체수종혹경사、대면적뇌경사)재비위중조여위중、겁위중조차이유현저성(P <0.05),MRI분형여림상분도유일정상관성。결론 MRI 가이객관반영영인 IMS 뇌손상적엄중정황,위림상제정치료방안급평고예후제공중요신식。
Objective To investigate MRI findings and its relationship with clinical grading and prognosis of infant muggy syn-drome (IMS).Methods Twenty five cases of IMS diagnosed newly and nine cases of IMS with follow-up were collected.MRI find-ings were retrospectively analyzed and compared with their clinical data.Results Seven early abnormal signs could be shown on cer-ebral MRI examination.There was no correlation between the clinical grading and three abnormal signs,which were subdural effu-sion,supratentorial cerebral edema and subarachnoid hemorrhage (P >0.05).In contrast,the other four abnormal signs (abnormal signal of subcortex and cortex,diffuse cerebral hemorrhage,basal ganglia and corpus callosum edema or infarction,large area cere-bral infarction)were closely related to the severity of clinical symptom (P <0.05).MRI findings had certain correlation with clinical classification.Conclusion MRI can objectively reflect the serious change of brain damage in IMS,and provide important information for clinical therapy and prognosis.