摘要
儿童脑卒中危险因素不同于成人脑卒中的危险因素,如高血压、糖尿病等,其发作通常是由于多种危险因素同时存在,这需要综合评估。但目前关于儿童脑卒中仍存在一些挑战。因父母或照看者对儿童脑卒中发作认识的延迟,所以提高对脑卒中的认识与教育更为重要。儿童脑卒中有多种神经系统表现,确诊需要MRI。然而最具有挑战性的是小儿脑卒中治疗方面的临床研究,以便能作出高级别循证医学依据的治疗方案。现介绍儿童动脉缺血性脑卒中及出血性脑卒中的诊断与治疗方面的新发现和新观点。
Stroke in children is rarely due to stroke risk factors such as hypertension and diabetes in adults.Rather,stroke in this patient group typically results from the simultaneous occurrence of multiple stroke risk factors,the presence of which necessitates a thorough evaluation to determine the cause of this disorder.In this review,recent findings and diagnostic issues are introduced pertaining to both arterial ischemic stroke and hemorrhagic stroke in children.Several challenges exist in the care of children with stroke.Of note,recognition of pediatric stroke onset by parents and caregivers is often delayed,highlighting the need for increased awareness of and education regarding this condition.Mo-reover,various neurological conditions resemble stroke in pediatric patients and a definite diagnosis of this disorder requires magnetic resonance imaging;adding to the diagnostic difficulty,young children may need to be sedated to undergo magnetic resonance imaging.Perhaps the most significant challenge is the need for clinical research studies focusing on pediatric stroke treatment,so as to allow high quality evidence-based treatment decision-making.
出处
《实用儿科临床杂志》
CAS
CSCD
北大核心
2012年第12期940-943,共4页
Journal of Applied Clinical Pediatrics
关键词
脑卒中
诊断
治疗
进展
儿童
stroke； diagnosis； treatment； progress； child
