16例小儿外伤性脑梗死的临床诊治分析  

Clinical analysis of 16 cases of pediatric traumatic cerebral infarction

作　　者：张世强[1] 赵景伟[2] 李文臣[1] 陈勃[1] 王光明[1] 何川[1] 付双林[1] 王海峰[1] 

机构地区：[1]吉林大学白求恩第一医院神经创伤外科,吉林长春130021 [2]吉林大学中日联谊医院神经外二科,吉林长春130033

出　　处：《中风与神经疾病杂志》2014年第12期1111-1114,共4页Journal of Apoplexy and Nervous Diseases

摘　　要：目的探讨小儿外伤后脑梗死的临床特点、诊治及预后。方法回顾性分析我科16例小儿外伤后脑梗死的临床特点、影像学特征、治疗及预后。结果患儿全部为颅脑损伤所致脑梗死,出现单、双侧梗死灶,及一侧或双侧肢体的偏瘫,少部分伴有失语、中枢性面瘫等体征。除1例入院后2 d出现大面积脑梗后死亡外,其余患者经保守治疗后,肢体及语言功能恢复良好。结论外伤性脑梗死的患儿如果出现大面积脑梗死,预后极差。如仅为局限性脑梗死灶并伴有神经系统阳性体征,应尽早诊断,经药物及康复锻炼、高压氧治疗后,恢复效果良好。Objective To investigate the clinical characteristics of children with traumatic cerebral infarction, diagnosis and prognosis. Methods We retrospectively analyzed 16 cases of traumatic cerebral infarction clinical characteristics, imaging features, treatment and prognosis. Results All the children suffered from cerebral infarction induced by brain injury, showed unilateral or bilateral infarction, hemiplegia and unilateral or bilateral limb, signs with aphasia, a small part of central facial paralysis. Except 1 cases died second days after admission a large area of cerebral infarction, limbs and language function recovered well in the rest of the patients after conservative treatment. Conclusion Children with a large area of traumatic cerebral infarction have extremely poor prognosis. If only with small area of cerebral infarction complicated with neurological signs, diagnose should be as early as possible. Recovery is good with drug, rehabilitation exercise and hyperbaric oxygen treatment.

关 键 词：颅脑损伤 小儿脑梗死 血管关闭 基底节 

分 类 号：R743.3[医药卫生—神经病学与精神病学]