婴幼儿颅脑损伤后基底节区脑梗塞的诊治  

Diagnosis and treatment of infantile traumatic basal ganglia infarction

作　　者：韩林[1] 舒凯[1] 郭东生[1] 雷霆[1] 李龄[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院神经外科,武汉430030

出　　处：《中华小儿外科杂志》2007年第10期509-511,共3页Chinese Journal of Pediatric Surgery

摘　　要：目的探讨婴幼儿外伤后基底节区脑梗塞的临床特点和诊治预后。方法回顾性分析19例婴幼儿外伤后基底节区脑梗塞的临床特点、影像学表现和治疗效果。结果所有患儿均由较轻的颅脑外伤所致,13例一侧肢体瘫痪,6例双侧肢体偏瘫,其中4例伴有中枢性面瘫,CT发现基底节区13例为单侧梗塞灶,6例为双侧脑梗塞灶;经早期应用尼莫通、甘露醇、激素等药物及功能锻炼等治疗后多数患肢功能恢复满意。结论婴幼儿外伤后基底节区脑梗塞根据其临床特点及影像学检查可早期获得诊断,非手术治疗小儿外伤性脑梗塞效果满意。Objective To explore tlae clinical features, diagnosis and treatment of infantile traumatic basal ganglia infarction. Methods Clinical features, imaging findings and therapeutic effect of 19 cases of infantile traumatic cerebral infarction were analyzed retrospectively. Results Thirteen ca- ses suffered from hemiparalysis and the other 6 from diplegia. Computer tomography revealed 13 unilateral basal ganglia infarction and 6 bilateral. All of them accepted drug therapy of nimodipine, mannitol and hormone, and rehabilitative therapy. All the affected limbs recovered very well. Conclusions Traumatic history, clinical features and CT or MRI images contribute to early diagnosis of infantile traumatic basal ganglia infarction. Conservative management can yield good outcomes in these children.

关 键 词：颅脑损伤 脑梗塞 脑血管基底神经节疾病 

分 类 号：R726.5[医药卫生—儿科]