實時扇形超音波對嬰兒腦膜炎之研究

自1983年12月至1984年11月，收集了33個嬰兒腦膜炎同時作了腦部超音波的病例。年齡分佈從2天到9個月。33例共作了85次超音波檢查，其結果如下：①腦水腫：16例(48%) ②腦室擴大；12例(36%) ③硬腦膜下積液：12例(36%) ④腦室發炎：4例(12%) ⑤皮質囘同音強度增強：10例(30%) ⑥腦軟化：1例(3%) ⑦腦內膿腫：1例(3%) ⑧腦內血塊：1例(3%) ⑨正常:2例(6%)，疾病發生一星期內，腦水腫是最常見之異常，而腦室擴大為二星期後最常見之異常。除了4例死亡外，25例有短期（平均7個月）之神經學追蹤，其結果：①正常：16例②疑似不正常：4例③中重度神經發展異常：5例。在此5例中重度異常之病人中，3例有腦室發炎，2例有硬腦膜下積膿且其中1例併有腦內出血。早期且系列之頭部實時扇形超音波追蹤，對嬰兒腦膜炎之治療及預後之了解甚有助益。

關鍵字

無資料

並列摘要

A retrospective study of infantile meningitis, using brain sonography, was under- taken from December 1983 to November 1984. Thirty-three cases were reviewed. The age ranged from two days to nine months (mean: 2.6 months). The sonographic findings were: (1) brain edema: 16 cases (48%). (2) ventriculomegaly: 12 cases (36%). (3) subdural fluid collection: 12 cases (36%). (4) ventriculitis: 4 case (12%). (5) increased cortical echogenicity: 10 cases (30%). (6) encephalomalacia: one case (3%). (7) abscess: one case (3%). (8) hematoma: one case (3%). (9) normal: 2 cases (6%). Brain edema was the most common finding at the first week of disease, whereas ven, triculomegaly was the most common after two weeks of disease. Except for four cases of mortality, 25 cases had short-term neurological follow-up (mean: seven months), 16 had normal outcome, four had borderline abnormal outcome and five showed moderate-severe neurodevelopmental retardation. In the five diagnosed as moderate-severe retarded patients, three were associated with ventriculitis, two with subdural empyema; one of them also had associated intracerebral hematoma.

並列關鍵字

Infantile meningitis ； real-time sector sonography

國際替代計量

實時扇形超音波對嬰兒腦膜炎之研究

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