摘要
目的探讨儿童重型颅脑损伤的发病机理、临床特点及治疗方法。方法回顾性分析儿童重型颅脑损伤131例。结果临床结果根据GOS标准判断:Ⅴ级(良好)91例,Ⅳ级(中残)10例,Ⅲ级(重残)6例,Ⅱ级(植物生存)0例,Ⅰ级(死亡)24例。结论儿童在颅脑解剖、中枢神经系统生理及病理生理方面有其固有的特性,颅脑损伤后耐受性差,病情常突变,而小儿中枢神经系统修复能力相对较强,如及时解除脑受压,神经功能恢复快,疗效好。早期诊断、正确选择治疗方法及手术方式能明显改善患儿的预后。
Objective To investigate the pathogenesis, the clinical characteristics and the treatments of severe traumatic brain injury in children. Methods 131 cases of children with severe traumatic brain injury were analyzed retrospectively. Results Clinical outcomes were assessed according to the GOS. Of all these patients, 91 cases got a good recovery (grade Ⅴ), 10 cases were left with moderate disabilities (grade Ⅳ), 6 cases were severely disabled (grade Ⅲ), no one was left in a persistent vegetative state (grade Ⅱ), and 24 cases died (gradeⅠ). Conclusion Due to the children's intrinsic characteristics in neurotomia, physiology and pathophysiology of central nervous system and less tolerance to traumatic brain injury, they often get worse suddenly. However, they always gain a good recovery because of better comparatively rehabilitation capacity of central nervous system. Early diagnosis and appropriate treatment and surgery can improve their prognosis obviously.
出处
《中华神经医学杂志》
CAS
CSCD
2005年第1期75-77,共3页
Chinese Journal of Neuromedicine
