儿童外伤性脑梗死的病因分析  

TO analvse the cause of the post-traumatic cerebral infarction in children

作　　者：齐岚平[1] 李佩萱[1] 

机构地区：[1]石家庄河北医科大学第二附属医院神经外科,050000

出　　处：《脑与神经疾病杂志》2004年第4期275-277,共3页Journal of Brain and Nervous Diseases

摘　　要：目的:分析儿童外伤后发生脑梗死的病因。方法:对外伤后出现偏瘫的150例儿童进行脑CT扫描,其中60例使用超声检查颈动脉。结果:全部CT显示低密度脑梗死病变,70％位于基底节区。51例超声探及颈动脉内膜损伤.彩色多普勒血流显像(CDFl)探测到局部充盈缺损41例。损伤部位在颈总动脉15例、颈内动脉36例,合并血栓形成39例。结论:儿童外伤时容易发生颈部动脉内膜损伤,局部形成血栓,血栓脱落后栓塞颅内动脉造成脑梗死。Objective: To analyse the cause of the post-traumatic cerebral infarction in children. Methods: 150 children who had the hemiplegia after the trauma were taken the brain CT scan, 60 of which were taken ultrasonic examination to carotid artery. Results: There were low density Lesion in cerebral infarction in all of the CT scan, 70% of which were located in the basal ganglia. The injure in tunica intima of carotid artery was discovered in 51 cases by ultrasound, and the local filling defect was in 41 cases by colour doppler flow imaging(CDFI). Lesion was in the common carotid artery(15 cases) , in the internal carotid artery(36 cases), and there were 39 cases mergered with thrombosis. Conclusions: The injury in the tunica intima of carotid artery easily took place in post-trauma, thrombosis was in the local and the emboli of the in-tracranial artery induced to cerebral infarction which came form the split thromho.

关 键 词：儿童 颈部外伤 颈动脉内膜 血栓形成 脑梗死 

分 类 号：R243.32[医药卫生—中医临床基础]