摘要
目的探讨小儿外伤性脑梗塞的发病机理、CT表现、临床诊治及预后。方法35例患儿均行横断位头颅CT扫描,予扩血管、解痉、神经营养及抗凝等治疗。结果小儿外伤性脑梗塞好发于基底节区,CT扫描均表现为低密度影,治愈33例,CT低密度影消失,好转2例,CT低密度影范围缩小。结论CT扫描和追踪观察对小儿外伤性脑梗塞诊断有重要价值。本病经及早诊断治疗,预后良好。
Objective To evaluate pathogenesis, CT manifestations, diagnosis and treatment, and prognosis of traumatic cerebral infarction in children. Methods Axial head CT scanning was performed in 35 cases, meanwhile the treatment included vessel dilatation, anti spasm, nerve nourishment and anti coagulation. Results The traumatic cerebral infarction in children was commonly located in the basal ganglia. CT scan revealed low dense lesions in all cases. 33 patients out of 35 convalesced gradually, when no anomaly was shown on CT. The rest 2 patients improved, whose lesions decreased in size on CT images. Conclusion The major pathophysiology of traumatic cerebral infarction in children is occlusion of cerebral microcirculation and convulsion of vein after trauma. CT scan and follow up are of great value in monitoring the damages. Early diagnosis and treatment result in good prognosis.
出处
《影像诊断与介入放射学》
2004年第2期79-81,共3页
Diagnostic Imaging & Interventional Radiology
