13例儿童后循环动脉缺血性卒中临床分析  

Clinical Analysis of 13 Children with Posterior Circulatory Artery Ischemic Stroke

作　　者：曾蕊 吕俊兰[2] 唐浩勋[3] 耿荣[4] ZENG Rui;LYU Junlan;TANG Haoxun;GENG Rong(Pediatric Department of Beijing Shunyi Women’s&Children’s Hospital of Children’s Hospital,Beijing 101300;Neurology Department of Beijing Children’s Hospital;Cardiology Department of Beijing Children’s Hospital;Emergency Department of Beijing Children’s Hospital,Beijing)

机构地区：[1]北京儿童医院顺义妇儿医院儿科,北京101300 [2]北京儿童医院神经内科 [3]北京儿童医院心内科 [4]北京儿童医院急诊科

出　　处：《中国实用乡村医生杂志》2022年第3期63-69,共7页Chinese Practical Journal of Rural Doctor

摘　　要：目的描述儿童后循环动脉脑卒中的临床特点。方法对2016年1月—2021年6月在首都医科大学附属儿童医院住院治疗的13例后循环脑梗死患儿的病历资料进行回顾性分析。结果后循环卒中患儿发病中位年龄为7岁11个月,以男性居多(92.3%),临床症状以非特异性症状为主,其中恶心呕吐9例(69%)、头晕8例(62%)、头痛4例(31%);以共济失调体征为主。大部分患儿病因不明,其中有6例患儿完善核磁血管成像或者头颈部CT血管造影(CTA)检查均显示椎动脉管腔充盈欠佳,考虑椎动脉夹层可能。13例患儿经治疗后均有不同程度好转。结论儿童后循环脑卒中以非特异性症状为主,容易被漏诊及延迟诊断。通过积极开展对儿童后循环脑卒中的研究,提高对该病的早期识别,及时诊治,争取最大限度减轻脑卒中带来的神经损害并降低复发率。Objective To describe the clinical features of posterior circulation arterial ischemic stroke(PCAIS)in children.Methods From January 2016 to June 2021,a total of 13 children with posterior circulation arterial ischemic stroke who were hospitalized in the Beijing Children’s Hospital of Capital Medical University were retrospectively analyzed.Results The median age of onset of children with PCAIS was 7 years and 11 months,and the majority were male(92.3%).The clinical symptoms were mainly non-specific symptoms,including nausea and vomiting in 9 cases(69%),dizziness in 8 cases(62%),4 cases of headache(31%),mainly with signs of ataxia.The etiology of most of the children was unknown.Among them,6 children completed magnetic angiography or CTA examination of the head and neck showed that the filling of vertebral artery lumen is under unfavorable condition,considering the possibility of vertebral artery dissection.The 13 children all improved to varying degrees after treatment.Conclusion Posterior circulation arterial ischemic stroke in children is dominated by non-specific symptoms,which is easy to be missed and delayed in diagnosis.By actively carrying out research on it,we can improve its early recognition,timely diagnosis and treatment,and then minimize the neurological damage caused by stroke and reduce the recurrence rate.

关 键 词：儿童 后循环动脉缺血性卒中 临床分析 

分 类 号：R743.3[医药卫生—神经病学与精神病学]