儿童脑血管疾病的临床与磁共振成像的对照研究  

Cerebral Vascular Disease of Children: Study of Correlationbetween the Clinical Manifestations and the MR Images

作　　者：胡向红[1] 林伟[1] 王克勤[1] 李晓宪[1] 黄敏华[1] 钱明珠[1] 

机构地区：[1]海军总医院医学影像中心,北京100037

出　　处：《海军总医院学报》2002年第3期159-161,168,共4页Journal of Naval General Hospital of PLA

摘　　要：目的　探讨脑血管疾病在未成年人群中的表现特点。方法　患儿 12 4例 ,检查方法选用磁共振T1 、T2 加权像和磁共振血管成像。结果　检查显示本组病例中有单纯脑出血 9例 ,脑动脉闭塞或狭窄 90例 ,脑血管畸形 2 5例。结论　儿童脑血管疾病表现特点主要有 :①发病率随年龄增大而下降 ;②年龄越小急性发病的可能性越大 ;③相当多的患儿没有脑卒中的典型症状 ;④脑动脉闭塞或狭窄均累及脑动脉主干 ,年龄越小多支动脉受累越多见 ;⑤在脑血管畸形病例中 ,非典型性的脑血管发育异常较多见。Objective Probing the characteristics of the cerebralvascular disease in the pre-adult persons. Methods 124 underage patients of cerebral vascular disease were examined with MRI and MRA. Results 9 cases are the simple cerebral hemorrhage, 25 cases are the cerebral vascular malformation. 90 cases are the arterial stenosis or occlusion. Conclusion The main characteristics of the cerebral vascular disease in the childhood are. ① The morbidity gradually falls down with the children growing up; ②The younger the child is , the possibility of acute falling ill is higher; ③ There are not typical symptoms of the vascular disease of brain in quite a lot cases; ④ The disease of the artery stenosis or occlusion involves totally the main stem of the cerebral artery, and multiple artery stems can be impaired in the group of younger childeren; ⑤ In the patients with cerebral vascular malformation there are many cases that demonstrate atypical vascular dysplisia.

关 键 词：儿童 脑血管疾病 临床表现 磁共振成像 诊断 

分 类 号：R743[医药卫生—神经病学与精神病学] R445.2[医药卫生—临床医学]