Cerebral structure and intraventricular haemorrhage in the neonate: a real-time ultrasound study.
Cerebral structure and intraventricular haemorrhage in the neonate: a real-time ultrasound study.
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新生儿的大脑结构和脑室内出血：实时超声研究。
DOI：
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发表时间：
1981
影响因子：
5.2
通讯作者：
V. Dubowitz
中科院分区：
文献类型：
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作者：
M. Levene;J. Wigglesworth;V. Dubowitz
本文介绍了一种用实时超声对新生儿大脑进行系统扫描的方法，并将线性阵列与机械扇形扫描仪进行了比较。通过与尸检时的脑切片进行比较，验证了在轴向、冠状和旁椎扫描上识别的解剖标志。一项前瞻性研究的50名婴儿连续入院的新生儿单位在这家医院显示脑室内出血18（36%）。其中10/23例（43%）出生体重≤ 1500 g，3/11例（27%）出生体重1501-2000 g。一个意想不到的特点是，在13名出生体重大于2000 g的婴儿中，有5名婴儿出现了脑室内出血。在连续的每日扫描中，脑室内出血最常在出生后的前2天被诊断出来，此后异常的脑室回声持续长达12天。2例婴儿出现晚期脑积水。实时超声为儿科医生提供了一种诊断和监测新生儿颅内病变的实用方法，是研究婴儿期神经障碍病理生理学的一种有价值的、非侵入性的、安全的工具。
A method for systematic scanning of the neonatal brain with real-time ultrasound is described, and the linear array is compared with mechanical sector scanners. Anatomical landmarks recognised on axial, coronal, and parasagittal scans are verified by comparison with brain slices at necropsy. A prospective study of 50 infants admitted consecutively to the neonatal unit at this hospital showed intraventricular haemorrhage in 18 (36%). These 18 infants included 10 (43%) out of 23 of birthweight less than or equal to 1500 g, and 3 (27%) out of 11 of birthweight 1501-2000 g. An unexpected feature was the recognition of intraventricular haemorrhage in 5 of the 13 infants greater than 2000 g birthweight. On sequential daily scans intraventricular haemorrhage was diagnosed most often in the first 2 days of life and abnormal ventricular echoes persisted for up to 12 days thereafter. Late development of hydrocephalus was recorded in 2 infants. Real-time ultrasound provides the neonatologist with a practical method for diagnosis and monitoring of intracranial lesions in the ill neonate and is a valuable, non-invasive, and safe tool for studying the pathophysiology of neurological handicap in infancy.