二维超声联合彩色多普勒对新生儿颅内病变的临床应用与头颅CT的对照研究

二维超声联合彩色多普勒对新生儿颅内病变的临床应用与头颅CT的对照研究 二维超声联合彩色多普勒对新生儿颅内病 变的临床应用与头颅CT的对照研究 CT???????A?? ???w?-,??????,??????,???7??,??F??? (?????T?????????????d?J??,??????????154100) ????:????F????????????????0?????t???????????d?J???s???J???;???????f???????????h???8FT?? ?t???l?f??CT??????,?????????h?f???H?????h???8FT????F????f?????????d?J???s???J???;??????120 ?????J,?5?L???h?????????????????????J?????4???;??????????FT???h?????t?????V?%?z???????w?;?? ?)???5?,????????????Willis????????FT?????w?;?????)???????H???)?v?N?dFC?3?y?d?%?d???K???4??FT ?W??,???????I???J???f??CT?????????A??FT????F??t???????d?J???????VFC?E?V?E?w?w?;??FC?;????,?? ???J?;?????????h???7?????????f??CT?????A??,???????:???????f???????h???d?J???????????????? ?4???f???????:???f??CT?o??FT????F????????????0?????t????????,???????)????FC???(??????FC????, ?????;?H?O?????????????5????,???????C????,?U???????????J????????????,?????Z?????JFT???????: ?o??,?f??B?????f??CT???T?0???Y?K?????????????hFT ???O??:????????;?????t????;???d?J????????;?f??CT ?????5?????C:32011140F?F?F?F??H???5????:R443F?F?F?F????O?4???C:A ?????7??:1004-5775(2009)01-0021-03 ContrastStudyonApplication2DUltrasoundandColorDoppler ComparedwithCTinNeonateIntracranialLesion ZHOUDa-xin,LIFang-rong,SONGLing-yun,etal. (DepartmentofNeonatology,WomenandChildrenHealthandPreventionHospitalofHegangCity, Hegang154100,China) Abstract:ObjectiveF?Todiscussapplicationofthe2DultrasoundandcolorDopplercomparedwithCTinneonatein2 tracraniallesion.MethodsF?120casesneonateorbabywhoweresuspiciousascerebraldiseasewereperformedwith2D ultrasoundforfonticulusandbrainstructureatthislayerandwithcolorDopplerforbloodflowtodetectbrainarterydis2 tributionandWilliscirculation.Theresistantdataandflowatsystolicanddiastolicstageofanteriorandmediunartery weredetectedthatcomparedwithCT.ResultsF?Theresultsshowedthatthediagnosisofultrasoundofbrainwerebetter thantheresultsofpathologychangesofhemorrhage,ischemic,AE,undeveloped,whitematersofteningandtheirCT scaninclinicanditsguiding.ConclusionF?2Dultrasoundmightbesimple,noradiation,cheapwithhighdifferentiation indynamicespeciallyevenbesidebed.TheBultrasoundmightbewidelyusedinprimaryhospital. Keywords:2Dultrasound;ColorDoppler;Intracraniallesionofneonate;CTofBrain F?F????????x20?7??70?????????h?????d?J???? ??????????FT80?????l,?7???:???d?J?????????? ?x(NICU)???d????????FT?????JFC?????d?????J?? ???????????d?J???????t,?????B????FC???K???i ??????,???g???(???;???U?f??????,???W?????? ?????;???????x?h???d?J?????????h,???5???;?? ?????E???d?J???J??NICU?H???????J?;???U?j?? ??????????????FT 1F??????l???? 1, ?b66 ??,???w5??FT???????w?1?I?0,???s?1???d?l 17hFT???H,???d?J100??,???J20??FT120???H,?? ???J30??,?????d?????J20??,?)???d?J?????? 30??,?)??????????58??,???U??12??,?????d?? ??6??FT 112F????? ???hMedison?????d????SA-6000CMT?????? ??????,???????P?s?????f,???????,???h510?? 715MHz????FT 113F????????? 131,???????????? ??,?????f????????,???w?????F?;???????;????FT ???????E?x???B?B?M?????f?l?f????????,?B?B?5 12 ?Z33?? 2009???Z1?d F?F?F?F?F?F?F?F?F?F? ??F???F???F??KF??? HEILONGJIANGMEDICALJOURNAL F?F?F?F?F?F?F? Vol133,No11 Jan12009 F?F?F? 11 120 410 11: ,???????????????????F?????(?I?Y ??????,?W???????????U???w?;???,???h???????? ?7,?????;??????FC?H???????????C???????????7FT ???????????????l,???f????90??,????????????, ???;???H???E????,?B?;?U?????????;?B?Y????, ???????;???H???????????????(?Y??????FT???? ?????f???????????;?????C?w?sFC?????????????; ?????????????????????7FT?????,???????????m ??????,???????????s??????FT 11312F???????????:???????I???????????????8?f ????????????,?z?E?w?;?tFC?o?;FC?????V?????? ??FT 11313F????f????????,?4???H??????:???h?????t ?????z?E?w?;?????),?????v?N?d???3?y?d?V?%?d ??,?K???4??FT???????f????????????,?z?E?w?; ?H???),Willis??,?????V?????5?,??????,?5?L?? ???(?????8FT 11314F??M?????J????,?)???T?????????????f?? CT????FT 2F????? 120?????J???;?????.?w78??,??65%FT?? ?H,?;??????-?;???????V30??,?;????5??,???? ?J?;???????h???U11??,???d?J?E?V?E?w?w?;?? 20??,?;?????T?j9??,?;?l?N3??FTDoppler?V?% ???g?T?j46??(?i?W?0?????J?;?????j?8FC?;?V?% ?d?????????4?????j?8???,???r???K?7??F:???d?J ???;??????????F2)FT 120?????J?f??CT?.?w54??FT???H,?????? ?V36??,?;???????;???????V29??,???????2???? ?V7??FT???d?J?E?V?E?w?w?;??16??,?;???f1 ??FT 3F????? ???????????0?????t???????????h???????? ???I???????d?J???s???J?????;????,???1???z?E ???J???;????????FT ???????????V,?U???x?;??????-?;?????? ?V,???????)???T?w?????????8,?????????????? ?????C???????V?????j?v????FT?????????V???? ???C?????????V??????,?M?????V?????????E?f?? ?K?d?,??????????FT?Z??3?????J?f?????????? ???E?V???w???????2?????V,CT?????I???T?jFT?? ???????????????x???E?????????????????V???? ?????)?????????d?w,?????V???w?,?????s???;?? ?????V,?????????d?w?w??CTFT?h???????????2?? ?V?????J?H?)3??,???????E???V?E?j?v?d(???? ?B????),?W?d?f??CT???x???????2?????V,???? ???5?????V?x?m?E???d?????V,?7???V?j?v?dFT?? ?f?????????4???s?????????:??FT?????;?????? ?h?????????d?J???????V???????????C????FT?? ?Z?????J?H?)?????f??T?????E???????2???? ?V,?????????????2?????V????????????,?x???E ???;?7???Z???????j???????(,?i???R???L?x?V?? ?7???j?;????FT???????????2?????V???????K?? ?????f??CTFT ?h?Z??120?????J?H,?;????5??,???H4???) ?????w?;?H???)?V?%???i????,5?????d?f??CT?H ???I???T?jFT?h???d?J?;???????????????H,???? ???????x?h???d?f???v???t??????????????,?4?? ?f???K?d???????)?????????????hFT?h???????H ?l?d?????C?????H,?????t?????????2?F???????? ?x?????????????c?????B?????x?m?)?V?%??????, ???????????l?)?????????E???hFT?;???)?????h CT?H?????E?h?w???)?????5?x?5?,?E?????????? ??????FT??????,???V?????????)??MRI???9???? ???d?w??????,???O?H???;???hCT???E???d?J?; ?????????)????????FT ?h?Z??120???????H,???????d?J?E?V?E?w?w ?;??20??,???f?)?;?f??FC?;???h???????????E, ?f?;?????????S????FT???H,?f?)?t?????T?j?V?% ??10??,?;?l?N3??FT20?????J????CT???????? ?????????mFT???d?;?f????,?????????????;???? ???S??,?)?????dFT?????????:???M???????f???j ???????????????S?????7,???????????f???????E ?w?l?;?f???????d,?????;???????7?H,?????;?f ?????2??FT???????C?????H???J???V??????????, ?;???)?V?%?d???B?B????,???l???i???j,?????? ???????l?????????5???1???;?f????HIE???J?; ?V?%??????????????FT?h?????J???C?????H????, ???????????7???e???2???l?f???E?w?E?V?w?;?? ???e???2?????Z?x???m??FT?Z???????H,?)3???? ?d???;???h??????????10d?l?I???????g,?h???l ???????????A???E?;?l?N,???????????:???????? ?;???,???????i????????????,???????????????F ?????l?????d?????x?)???,???8??FT ?Z???????H,?????????J?;???????h???U11 ??,?g???????J?????;??????????,?;???t???)?? ?;???????V???????i?B??,?W???;?V?????)?????? ?????;????,?????R????PVLFT?Z??11???????J?? ???H,???h?d?l3d?j???????f????????????????, ?????;???????h???????E,?????,?????wFT11???? ?h5d?????%???????2?????f??CT????,???I???? ?T?jFT?h?Z???????H????,?f??CT??PVL?i???d, ?i?T?h???????JFT?W?????h???d?g?????????;?? ?????h???U,???E?f???-?????s,???t?????????? ?J?????w???????e???;????,???w???5???h???U?? ?????7FT ?Z???????H,?)9???;?????T?j,???J??????FC ?d?l???V???;?B????????,?s?l???E????,?;?? ?h?????T?j??FT?f??T???;?B??????,???)???T ?M??,?s?l???E????T???m,?;???h?????T?j??, 22 F?F?F? ?Z33?? 2009???Z1?d F?F?F?F?F?F?F? ??F???F???F??KF??? HEILONGJIANGMEDICALJOURNAL F?F?F?F?F?F?F?F?F?F? Vol133,No11 Jan12009 7C 71 1C C1 1 ,??F??? 2 ,?????? 1 (11,?????????A??150001; 21,?????????A??150010) ????:????F??????C???e?w?;????(ACI)???1?l?????C?????V?s?????????i?WFT????F????h?????,?? ????FC?????????%?s?????x????36??ACI???1??19?????????????V?s????????(PAgT)?????V?s???????? ??(GMP)CD41FCCD62p??CD63???.?w??????FT????F??C??ACI???1??PAdTFCPAgTFCCD41FCCD62p??CD63?? ?????8,?5?L?E31%??13%FC40%??14%FC12134%??3131%FC7182%??2159%FC21134%??6163%;???????:?? ?(???????8,?5?L?E22%??9%FC27%??13%FC8198%??215%FC4187%??1179%FC17187%??4145%FT????F??C ??ACI???1?V?s???(?????K???C,?V?s??????FC????FC???z?????????E,?V?s???K?7?l?C??ACI???????E?v ?)??FT ???O??:?;????;?V?s???K?7;????????;?%?s?????x ?????5?????C:32011160F?F?F?F??H???5????:R466111F?F?F?F????O?4???C:A ?????7??:1004-5775(2009)01-0023-03 DetectionandClinicalSignificanceofAcutePlatelet ActivationofSenileCerebralInfarctionPatient SONGYan-hai,HUTao,XINXiao-min (DepartmentofLabandDiagnosis,TheFirstAffiliatedHospitalofHarbinMedicalUniversity,Harbin150001,China) CT?????E?;???f,????MRI?????????E???N?;?? ?h?????T?jFT?t?????:?????????2??,?f???????? ?????E????,?????????????????t?Y????????,?h ???d?J?;?????:,?t???????;??FC?;???????C???; ???????????????U???;????,???f??CT??????FT ???:?V??,?t?????:???d?J???????????????? ?????h?f?????????f??CT?V????????,???????: ?????????????????0?????t?????h???d?J?????? ???????????4???f???????:?????f??CT?o???? ?tFT?????????????????????i?x?4????FT?h?Z?? ?????H????????,?????????????2?????VFC???;?? ?2???V(?s)?????;???o???????i???dFT???M???? ?J??????,?????(?????????o?E??,?T?????)???? ??????,?????d???????F?????????i?s??FT ????,???V?d?K?f????????,???d?J???????? ???x???i??????,?????d?J???????????B?E???H?? ??FT?g?????d?J???;???U?h???????f???????:?? ?Z?????T?w,?R?l???d?J?d??????????????,?W?? ???)?????l?????????????????x???????h?f???: ???F???????h,?w?w???????f?????????????wFT?? ?????????d?J???????????????s??,?????h?????d ????????,???E?f???6?????????R???U???y?????? ?T????????,???p?x???????????V???F???4????, ?E?F?????l?????d?J?d?l?)?????w???????????? ??????FT?f?????????????????:???????Y,?????? ?????;????,?????????d?J???????J???????2?; ???????V?????d????FC?e???2??,?E?f?????d???? ????,???F???l??????????????,???)???????8FT ???W??????138???????J?d?????J???;???UB?? ?????lCT?????????A???z?E:HIEFCICH??????B ???lCT???mFT???EB???????E?????d?????J???; ???U?????)????????FT?h???d?J?;?????????H?? ???i???f??CT???E???)????????,?g???????J?; ?????????h???U?HCT?????T??????,?W?????)?( ?????????i???EPVL??????FT????,?f?????????? ???)???(??????FC????FC?????????????????;?H?O ?????5??????,??????????,???????I????,?????? ???????7??????,?4???f???K?d???????????)???? ?s??,???????:?o??,?????d?J???d???;???U???? ??FC????FC???I????,?X?i?g?E??????????FT ???,???O: FA1F-??????1JF-1 ,2006,9:2361 2F-???r??1JF-1, 2006,9:3041 3F-?????l,??????,?o???M,??1B ?????????????????y?5??FAJF-1, 2005,8:1581 1B?????? ???8???A??FAF-1,,61 (?7???c????) (?v?J???d) 32 ?Z33?? 2009???Z1?d F?F?F?F?F?F?F?F?F?F? ??F???F???F??KF??? HEILONGJIANGMEDICALJOURNAL F?F?F?F?F?F?F? Vol133,No11 Jan12009 F?F?F? - 4 J1998 : :2008-11-27