儿童外伤性大面积脑梗塞的临床分析

Clinical Analysis of Massive Traumatic Cerebral Infarction in Children

目的 探讨儿童外伤性创伤后大面积脑梗塞发生机理及治疗方法。方法 对 9例儿童大面积脑梗塞的临床资料进行回顾分析。结果 儿童大面积脑梗塞有其临床特点 ,多见于外侧裂区脑搓裂伤、大量失血及大剂量脱水后 ,梗塞范围大 ,易发生脑疝 ,死亡率和致残率高。结论 提高儿童外伤性大面积脑梗塞的认识 ,防止其发生乃是关键。一旦发生 ,及时合理的手术将有助于改善患儿的预后。

Objective To explore the pethologic machanism,clinical characteristics and treatment of massive traumatic cerebral infarction in children.Methods 9 children's cases with massive traumatic cerebral infarction have been analysed retrospectively.Results It had characteristics which occured mostly not only in sylvian fissure lesion with contusion and laceration but also in mass bleeding and excessive dosage dehydration.The lesions of massive cerebral infarction induced tentorial herniation which caused higher disability and mortality rate.Conclusion It was the key to prevent massive infarction,and prompt operation can improve the prognosis of massive traumatic cerebral infarction in children.