小儿外伤性大面积脑梗塞临床分析  

Clinical Analysis of Posttraumatic Cerebral Massive Infarction in Children

作　　者：叶磊[1] 余伟[1] 宋志杰[1] 张堃[1] 

机构地区：[1]昆明市儿童医院,云南昆明650228

出　　处：《中外医疗》2015年第7期83-84,87,共3页China & Foreign Medical Treatment

摘　　要：目的探讨儿童外伤性大面积脑梗塞的发病机理和临床特征。方法对昆明市儿童医院2009年9月—2014年5月间收治的36例儿童外伤性大面积脑梗塞的临床资料进行回顾性分析。结果 36例患儿年龄从4个月-11岁,受伤原因包括高处坠落伤、车祸伤和重物击打伤。所有患儿均在伤后1周内确诊。根据格拉斯哥预后评分标准,恢复良好11例,轻度残疾16例,重度残疾5例,植物生存1例,死亡3例。结论儿童外伤性大面积脑梗塞是严重的脑外伤并发症,诊断主要依靠CT或MRI,强调早期诊断和早期治疗。Objective To discuss the pathogensis, clinical features of posttraumatic cerebral massive infarction in children. Meth-ods 36 cases with posttraumatic cerebral massive infarction in past five years were investigated retrospectively in Kunming ’s chil-dren’s hospital between 2009 and 2014. Results The age of the patients ranged from 4 months to 11 years. The cause of injury are high falling injury,accident and heavy combat injuries. All of the patients were diagnosed within 1 week. According to the Glasgow outcome scale standards, 11 patients recoveredwell ,mildly disabled in 16 cases, severe disability in 5cases, plant survival in 1, 3 patients died. Conclusion Children withtraumatic large cerebral infarction is a serious complication of braintrauma, diagno-sis relies mainly on CT or MRI, emphasis on early diagnosisand early treatment.

关 键 词：创伤性脑梗塞 颅脑损伤 儿童 

分 类 号：R74[医药卫生—神经病学与精神病学]