摘要
目的：研究儿童外伤性脑梗死的诊断、治疗方法。方法：回顾性分析行唐县人民医院神经外科2010年5月至2012年6月期间收治的15例儿童外伤性脑梗死患者的诊断、治疗过程。15例患儿均有明确的头部外伤史,受伤程度与临床体征不成比例,均于伤后24h内出现迟发性偏瘫,48h内CT扫描发现脑实质内梗死病灶。15例患儿除1例血肿清除和去骨瓣减压手术治疗外,其余14例均采用保守治疗。结果：9例患儿住院20-35天后痊愈出院,6例有肢体运动不适的患儿继续在门诊康复治疗1-3个月,出院后对患儿继续随访6个月,15例恢复良好,未出现残疾、智力障碍等并发症,有1例患儿由于梗死灶范围较大,而遗留下右手手指精细运动稍差。15例患儿6个月后复查颅脑CT,12例恢复正常,3例原病变区遗留有软化灶。结论：提高儿童外伤性脑梗死疗效关键在于早期针对性治疗,而及时CT检查与复查是早期明确诊断从而早期治疗的最有效的手段。
Objective：To study the diagnosis and treatment of Traumatic Cerebral Infarction in Children. Methods：To analyze the diagnosis and treatment of 15 cases with traumatic cerebral infarction in children hospitalized in Department of cerebral surgery, Xingtang People’s Hospital from May, 2010 to june, 2012 retrospectively. All 15 patients had history of head injury, the extent of the injury was seem disproportionate at clinical symptoms, delayed paralysis appeared in 24 hours after injury, parenchymal infarction was found in 48 hours by CT scanning . One of 15 cases was treated with hematoma and decompression operation, others were treated with conservative therapy. Results：9 children were cured after 20-35 days and leaved hospital, 6 cases with physical exercise discomfort continued to be treated in the outpatient rehabilitation for 1-3 months, and the patients were followed-up for 6 months, 15 cases recovered well without complications of disability and mental disorder, one case was a bit poor in right hand finger’s fine motor function because infarct range was larger. The CT scans of 15 patients were reviewed after 6 months, 12 cases recovered, encephalomalacia was left in primary lesion area of 3 cases. Conclusion：The key to improve the curative effect of traumatic cerebral infarction in children is early targeted treatment, and CT inspection in time and review is the most effective means of early diagnosis and treatment.
出处
《中国医药导刊》
2014年第3期533-534,共2页
Chinese Journal of Medicinal Guide
关键词
儿童
外伤性脑梗死
诊断
治疗
Traumatic Cerebral Infarction
Diagnosis
Treatment
