外伤性脑梗塞临床分析(附17例报告)  

Traumatic Cerebral Infartion (Analysis of 17 cases)

作　　者：李俊驹[1] 黄垂学[1] 赵建农[1] 王宇田[1] 

机构地区：[1]海南省人民医院神经外科,海口570311

出　　处：《海南医学》2001年第9期16-17,共2页Hainan Medical Journal

摘　　要：目的　回顾性分析外伤性脑梗塞的发生机理、临床表现、神经影像学表现、治疗及预后。方法　对 7例小儿和 10例成人外伤性脑梗塞的临床资料结合文献进行分析。结果　小儿外伤性脑梗塞多有明确轻微头外伤史(6/ 7) ,多发生于一侧基底节 ,临床表现和CT表现与腔隙性脑梗塞相似 ,疗效满意 ;成人的外伤性脑梗塞多为严重颅内、颅外伤的后继改变 ,CT表现为大片梗塞 ,治疗复杂 ,预后差。结论　应区别对待小儿和成人外伤性脑梗塞 ,采取不同的治疗方法 。Objective: To study the etiology,clinical and neuroimagical characteristics,the treatment and prognosis of traumatic cerebral infartion.Methods: Seventeen such cases have been observed and analysed. Results: The clinical symptoms of the traumatic cerebral infartion in children is similar to those of the launar infartion,and it need simple treatment and has a good recovery.However,the traumatic cerebral infartion is often a sequent pathologic event of severe intracranial or outracranial injury in adults.The treatment is complicative and has a bad.Prognosis. Conclusion: The clinical features are different between the children's and the adult's traumatic cerebral infartion.

关 键 词：小儿 成人 颅脑损伤 脑梗塞 

分 类 号：R651[医药卫生—外科学]