小儿(0～9岁)创伤性脑梗塞的诊疗分析  

Clinical Efficacy Study in the Treatment of Pediatric Traumatic Cerebral Infarction

作　　者：叶桓 卢迪 魏荣胜 何娟 何霞 张劲 

机构地区：[1]安徽省儿童医院神经外科,合肥安徽230051

出　　处：《国际神经病学神经外科学杂志》2016年第3期211-214,共4页Journal of International Neurology and Neurosurgery

摘　　要：目的探讨小儿创伤性脑梗塞的临床特点,发病机制,治疗方法及预后。方法对2011年到2016年期间在我院接受治疗的17例创伤性脑梗塞患儿进行回顾性的分析。结果本组17例均获随访,随访时间为1月-5年以上。在住院治疗期间基本恢复正常达30%;部分功能恢复,伴轻度肢体活动障碍达70%。小儿出院后经过高压氧及功能训练等康复性治疗,脑功能均基本恢复正常。在随访期间,以肌力作为检测指标,对17例患儿进行了t检验统计分析,t=2.2,P<0.05,检测结果比较差异有统计学意义,表明肌力基本恢复正常。结论实践表明小儿创伤性脑梗塞虽然发病突然,病情较重,但经过早期积极干预及综合治疗,其症状改善明显,功能恢复较快,预后大多良好。Objective To investigate the clinical characteristics,pathogenesis,treatment,and prognosis of post-traumatic cerebral infarction in children. Methods A retrospective analysis was conducted on 17 children treated in our hospital for post-traumatic cerebral infarction from 2011 to 2016. Results All of the 17 patients were followed up for 1 month to 5 years or more. During hospitalization,30% of the patients recovered almost completely,while 70% had partial recovery of functions with mild limb movement disorder. After discharge from the hospital,the patients received rehabilitation treatment including hyperbaric oxygen therapy and functional training,and their brain function recovered completely. During the follow-up period,muscle strength was used as a test index for recovery of the patients. The t-test analysis of all 17 cases showed a significant difference between their muscle strength pre- and post- treatment（ t =2. 2,P〈0. 05）,indicating that the muscle strength returned to normal. Conclusions The practice showed that although the onset of post-traumatic cerebral infarction in children is sudden and the condition is serious,with early active intervention and comprehensive treatments,their symptoms are partially or completely relieved,their functions recover quickly,and the prognosis is mostly good.

关 键 词：小儿 创伤性脑梗塞 综合治疗 回顾性分析 

分 类 号：R743.3[医药卫生—神经病学与精神病学]