【摘要】 目的 提高对新生儿颅内出血的CT表现的认识和诊断水平。方法 对70例颅内出血的CT表现作回顾性分析、研究。结果 蛛网膜下腔出血56例，占80%;脑实质内出血4例，占5.7%;脑室出血3例，硬膜下血肿2例,占2.8%。①蛛网膜下腔出血是最常见类型，多合并缺氧缺血性脑病，生产过程多有轻至中度窒息史;②脑内出血多合并重度窒息史;③脑室内出血多在脑室后角形成血-脑脊液平面;④硬膜下血肿合并皮下血肿，并有产伤史。结论 新生儿颅内出血的CT表现具有一定的特征性，常规的颅脑CT检查有利于颅内出血的早期发现与诊断，对临床治疗及推测愈后有一定的价值。

    【关键词】新生儿；颅内出血；CT诊断

    Newborn CT diagnosis of intracranial hemorrhage

    DONG Chang-he，TONG Fu-xun.Department of Radiology,Daqing Chinese Medicine Hospital of Heilongjiang Province Daqing 163111,China

    【Abstract】 Objective Raise the newborn intracranial hemorrhage awareness and performance of the CT diagnosis.Methods 70 cases of intracranial hemorrhage on CT findings of a retrospective analysis and research.Results 56 cases of subarachnoid hemorrhage,accounting for 80%;4 cases of cerebral hemorrhage,accounting for 5.7%; intraventricular hemorrhage 3 cases,accounting for 4.3%;2 cases of subdural hemorrhage,accounting for 2.8%.Conclusion:①Subarachnoid hemorrhage is the most common type,and more merger hypoxic-ischemic encephalopathy,Most of the production process with mild to moderate asphyxia history.②cerebral hemorrhage more with severe asphyxia history.③Intraventricular hemorrhage more ventricle horn formation of blood-cerebrospinal fluid plane.④Subdural hematoma merger subcutaneous hematoma,and the history of birth injuries.Conclusion Intracranial hemorrhage in newborns with CT findings of a certain characteristic,conventional brain CT scan to intracranial hemorrhage early detection and diagnosis,clinical treatment and more speculation after a certain value. ......