小儿弥漫性轴索损伤37例诊治体会  

The experience of diagnosis and treatment of 37 cases of pediatric diffuse axonal injury

作　　者：田茂良[1] 朱超[1] 曹春光[1] 

机构地区：[1]泰山医学院附属医院,山东泰安271000

出　　处：《泰山医学院学报》2013年第7期523-525,共3页Journal of Taishan Medical College

摘　　要：目的 探讨小儿弥漫性轴索损伤理想治疗方法.方法 分析总结2003年10月～ 2012年12月间的37 例弥漫性轴索损伤患儿的临床表现及治疗方法.给予吸氧、维持呼吸道通畅、脱水、止血、亚低温、控制癫痫、保护脑细胞等综合治疗.结果 恢复良好16例,轻残10例,中残6例,重残或植物生存3例,死亡2例.结论 小儿在重型颅脑外伤中易发生弥漫性轴索损伤,一般病情凶险,易引起生命体征紊乱,水电解质失衡,癫痫发作等,但小儿神经系统修复能力较强,通过积极治疗预后较好.Objective： To explore the ideal treatment for pediatric diffuse axonal injury. Methods： analysis between Oc- tober 2003 December 2003, 37 cases of diffuse axonal injury in children with clinical manifestations and treatment. Give oxygen, keep respiratory tract unobstru - cted, dehydration, bemostatic, the low temperature, control of epilepsy, protect brain cells and other comprehensive treatment. Results： 16 cases recovered well, 10 cases of light damage, in 6 cases of moderate disability , severely disabled or plants survive 3 cases, 2 eases died. Conclusion： children are prone to occur dif- fuse axonal injury in severe head trauma, illness dangerous commonly, easy cause vital signs is disorder, water electrolyte imbalances, epilepsy, etc. , but children nervous system repair ability is stronger, through active treatment prognosis is good.

关 键 词：弥漫性轴索损伤 小儿 治疗 

分 类 号：R726.5[医药卫生—儿科]