What are the sequelae and incidence of moderate hypoxic ischemic encephalopathy?

Neonatal ischemic-hypoxic-ischemic encephalopathy (HIE) is a brain lesion caused by hypoxia in perinatal neonates, mainly caused by intrauterine distress, neonatal asphyxia and hypoxia, and a few can occur in brain damage caused by other causes. The sequelae are a group of diseases such as developmental delay, mental retardation, mental retardation, general intellectual function significantly lower than that of the same age, and the same amount of adaptive behavior deficits. There are also many names such as mental retardation, mental insufficiency, mental deficiency, mental retardation, mental retardation, mental retardation, mental retardation, mental retardation, mental retardation and intellectual disability.

Spastic paralysisParalysis is one of the common symptoms of the nervous system and refers to the reduction or loss of muscle mobility. Epilepsy is a disease of abnormal motor function, sensory, conscious, mental, and autonomic nerve function caused by paroxysmal abnormal discharges of neurons in the brain caused by various reasons.

Ask the Department of Cerebral Palsy of the Third Hospital of Taiyuan Central Hospital Group.

Answer]: E moderate hypoxia ischemic encephalopathy is manifested by drowsiness, hypotonia, miosis, or dull reflex to light, so options b, c, and d are incorrect; Convulsions are common, often occurring within 24 hours after birth, cerebral edema and concurrent cranial hypertension are most obvious within 24 to 72 hours, so option A is wrong, so E is chosen.

Ischemic-hypoxic encephalopathy is usually caused by hypoxia and will have certain sequelae, so what are the sequelae of ischemic-hypoxic encephalopathy?

Ischemic-hypoxic encephalopathy is generally divided into three stages according to the changes in the condition: mild, moderate and severe, mild to moderate manifestations are excitability or sluggishness, hypotonia, severe may have coma, muscle tone, frequent convulsions and other symptoms, most of which are accompanied by severe sequelae such as cerebral palsy, epilepsy, learning difficulties and other symptoms. The immediate adverse consequence of ischemic-hypoxic encephalopathy is death; The long-term adverse consequences are mostly sequelae of cranial nerve damage.

Ischemic-hypoxic encephalopathy (HIE) is a brain lesion caused by ischemia and hypoxia of brain tissue caused by various causes, most commonly neonatal ischemic-hypoxic encephalopathy, but can also occur at other ages. Neonatal ischemic-hypoxic encephalopathy is a brain lesion caused by hypoxia in perinatal neonates, and the common causes are intrauterine distress of the fetus caused by various reasons, such as umbilical cord around the neck, abnormal amniotic fluid, etc., and also common in the process of delivery and postnatal asphyxia and hypoxia, and a few can be seen in brain damage caused by other causes.

1) The symptoms are most obvious from birth to 72 hours, and the disadvantages are coma; (2) Superficial reflexes and neonatal reflexes are completely lost, muscle tone is low, and pupil fixation is unresponsive; (3) bradycardia, hypotension, irregular or pause in breathing; (4) The case fatality rate is high, and survivors often have neurological sequelae.