摘要
目的 探讨儿童期自发性颅内出血的发病特征、临床表现、手术治疗以及预后情况.方法 回顾性分析2004年1月至2009年1月期间收治的儿童期（≤14岁）自发性颅内出血患者85例.结果 儿童期自发性颅内出血病因以脑动静脉畸形多见（84.7％）,其次是烟雾病（8.2％）,动脉瘤少见（3.5％）.出血部位多位于脑实质内,幕上多于幕下.以头痛、呕吐为首发症状者多见.DSA是脑血管疾病诊断的金标准.血肿清除加针对性手术是有效的治疗方法.结论 儿童期自发性颅内出血最主要的病因是动静脉畸形,手术切除是首选方式,可取得良好效果.
Objective To investigate the characteristics,clinical manifestation,surgical treatment and prognosis of spontaneous intracerebral hemorrhage （ SIH ） in childhood.Method During a 5 - year period from 2004 to 2009,85 cases of spontaneous intracerebral hemorrhage in children（ ≤ 14 years of age） were studies retrospectively.Results The main reason of spontaneous intracranial hemorrhage in children was cerebral arteriovenous malformation（ AVM ） （84.7% ）,then Moyamoya disease （MMD） （8.2% ）,and aneurysm was rare（3.5% ）.Bleeding sites were mostly located in the brain parenchyma,supratentorial cases more than infratentorial. Headache,vomiting as initial symptoms were more common. DSA was the gold standard for diagnosis of cerebrovascular disease.Hematoma removal and lesion resection was the effective treatment.Conclusions AVM is the most important cause of spontaneous intracranial hemorrhage in childhood,surgical resection is the preferred method which can achieve good results.
出处
《中华神经外科杂志》
CSCD
北大核心
2012年第1期13-16,共4页
Chinese Journal of Neurosurgery
