小儿外伤性脑梗死的研究进展  

Progress on children traumatic cerebral infarction

作　　者：胡慧敏(综述)[1] 唐久来(审校)[1] 

机构地区：[1]安徽医科大学第一附属医院儿科,合肥230022

出　　处：《国际儿科学杂志》2011年第1期65-67,共3页International Journal of Pediatrics

摘　　要：小儿脑梗死病因众多,有脑血管畸形、自身免疫性脑血管炎、感染、外伤及血液的高凝状态等.小儿颅脑发育不成熟,是外伤性脑梗死的高危人群.小儿外伤性脑梗死的早期诊断依赖动态观察患儿的临床表现,及时行头颅CT、MRI检查,尤其是MRI的弥散加权像对判断脑梗死的急性期更为敏感.小儿外伤性脑梗死部位以基底节区多见,梗死病灶多较小.小儿外伤性脑梗死多以保守治疗为主,如能早期诊断与治疗,较成人外伤性脑梗死预后好.There are many causes of children cerebral infarction, including cerebrovascular malformation,autoimmune cerebrovascular phlogistic, infection, trauma and the high state of blood coagulation. Because the brain development is not mature, the children is the high-risk group of traumatic cerebral infarction. The early diagnosis of traumatic cerebral infarctions relies on the dynamic performance of the clinical observation, taking head CT or MRI quickly, especially diffusion-weighted imaging, which is more sensitive on the judgement of acute cerebral infarction period. Common sites of traumatic cerebral infarction are basal ganglia. The infarcts are usually small. Treatment on traumatic cerebral infarction must give priority to non-operation. Early diagnosis and prompt treatment can provide better prognosis than adults.

关 键 词：小儿 颅脑损伤 脑梗死 

分 类 号：R743.33[医药卫生—神经病学与精神病学]