CAJ | 학술논문

目的：分析新生儿脑梗死的临床和CT表现，提高其诊断与鉴别诊断水平。方法回顾性分析27例新生儿脑梗死的临床和CT资料。结果左侧脑梗死15例，占55.6%，右侧6例，占22.2%，双侧6例，占22.2%；发生于顶枕叶20例，占74.1%；大脑中动脉供血区受累25例，占92.6%；CT表现呈底朝外的楔形或扇形低密度，灰白质同时受累，病灶边缘部分清楚，病变区脑沟变浅或消失，周围水肿较轻，中线结构轻度移位。结论新生儿脑梗死临床表现无特异性， CT检查是诊断新生儿脑梗死的重要手段。
목적：분석신생인뇌경사적림상화CT표현，제고기진단여감별진단수평。방법회고성분석27례신생인뇌경사적림상화CT자료。결과좌측뇌경사15례，점55.6%，우측6례，점22.2%，쌍측6례，점22.2%；발생우정침협20례，점74.1%；대뇌중동맥공혈구수루25례，점92.6%；CT표현정저조외적설형혹선형저밀도，회백질동시수루，병조변연부분청초，병변구뇌구변천혹소실，주위수종교경，중선결구경도이위。결론신생인뇌경사림상표현무특이성， CT검사시진단신생인뇌경사적중요수단。
Objective To analyze the clinical and CT manifestations of neonatal cerebral infarction, and to improve the level of diagnosis and differential diagnosis of neonatal cerebral infarction.Methods Retrospective analyze the clinical and CT data of 27 cases with neonatal cerebral infarction.Results There were 15 cases of cerebral infarction located on the left hemicerebrum (55.6%); 6 cases located on the right hemicerebrum (22.2%); 6 cases located on bilateral hemicerebrum (22.2%). 20 lesions were in occipital lobe (74.1%); Middle cerebral arteries were involved in 25 lesions (92.6%). In the CT images, the lesions were shown as low density wedge or sector shapes with bottom outlying, with gray matter affected at the same time. The edges of the lesions were clear, with the brain ditch shoaled or disappeared. The peripheral edema was lighter. The midline structures were slightly shifted.Conclusion The clinical manifestations of neonatal cerebral infarction were lack of speciifcity, and CT examination is an important method for diagnosis of neonatal cerebral infarction.