儿童颅内动脉瘤的临床特点及治疗  

Clinical features and treatment of intracranial aneurysm in children

作　　者：许伍环 夏祥国[2] 羊飞龙[2] 

机构地区：[1]绵阳市三台县人民医院神经内科,621100 [2]泸州医学院附属医院神经外科,泸州646000

出　　处：《中国微侵袭神经外科杂志》2015年第12期552-554,共3页Chinese Journal of Minimally Invasive Neurosurgery

摘　　要：目的探讨儿童颅内动脉的临床特点、治疗策略及疗效。方法回顾性分析6例颅内动脉瘤病儿临床资料,其中男4例,女2例。5例表现为急性蛛网膜下腔出血,1例脑叶出血。Hunt-Hess分级Ⅰ级3例,Ⅱ级2例,Ⅲ级1例。6例病儿均在发病48 h内接受外科治疗。结果 4例病儿行显微外科夹闭术,2例病儿行介入栓塞治疗,6例病儿术后均恢复良好,无死亡。结论儿童颅内动脉瘤十分少见,临床情况较好,早期经积极治疗预后良好。Objective To explore the clinical features, therapy and therapeutic effect of intracranial aneurysm in children. Methods The clinical data of 6 children with intracranial aneurysms were analyzed retrospectively, including 4 males and 2 females. Acute subarachnoid hemorrhage（SAH） was seen in 5 patients, lobar intracerebral hemorrhage in one. According to Hunt-Hess grade, gradeⅠwas seen in 3 patients, gradeⅡin 2 and gradeⅢin 1. All the patients received surgical therapy in 48 hours. Results Microsurgical clipping was implemented in 4 patients and embolization in 2. Six patients got good recovery. No patient died. Conclusions Intracranial aneurysm in child is rare and in good clinical condition and can get good outcome by early correct treatment.

关 键 词：颅内动脉瘤 蛛网膜下腔出血 脑叶出血 儿童 

分 类 号：R726.5[医药卫生—儿科]