小儿急性偏瘫综合征16例诊断与治疗探讨  

Diagnosis and treatment of acute hemiplegia syndrome in children

作　　者：周水珍[1] 廖广红[1] 孙道开[1] 

机构地区：[1]复旦大学医学院附属儿科医院,上海200032

出　　处：《中国实用儿科杂志》2001年第2期90-91,共2页Chinese Journal of Practical Pediatrics

摘　　要：目的　探讨小儿急性偏瘫综合征 (AHS)的诊断与治疗。方法　对 16例AHS临床资料 ,结合实验室检查进行分析 ,特别是与磁共振血管造影 (MRA)检查对比 ;均采取针对病因及抗凝和扩血管治疗。结果　 16例AHS病例中 12例 (75 % )发现脑血管异常改变 (大脑底部血管网 1例、基底节梗死灶 4例、大脑中动脉分支狭窄或闭塞 7例 ) ;采用综合治疗方法 ,预后良好。结论　MRA是AHS重要的诊断技术 ;Objective\ To study the diagnosis and treatment of acute hemiplegia syndrome in children.Methods\ 16 AHS patients were studied by EEG、CT、MRI、MRA as the combined diagnostic methods.All AHS children were treated by anti-coagulation and vasodilatation.Results\ 12 cases had cerebrovascular abnormalities,including 1 Moyamoya,4 basal ganglion infarct and 7 severe narrowing or occlusions.After treatment the prognosis was good.Conclusions\ The result indicates that MRA shows good ability of detecting intracranial vascular disorders in AHS study.It is essential to use anti-coagulation and vasodilatation early for AHS.

关 键 词：磁共振血管造影 急性偏瘫综合征 抗凝 儿童 AHS 脑血管病变 

分 类 号：R742.3[医药卫生—神经病学与精神病学] R743[医药卫生—临床医学]