小儿外伤性脑梗塞的早期诊断与治疗(附36例临床观察)

Early diagnosis and therapy of pediatric traumatic cerebral infarction: clinical observation of 36 cases

目的探讨小儿外伤性脑梗塞的诊断与治疗。方法对36例小儿外伤性脑梗塞进行临床观察及脑CT、MRI扫描。结果确切的头颈部外伤史,伤后抽搐、无严重意识障碍,1-6d后出现偏瘫、失语等临床表现,头颅CT、MRI检查可提高小儿外伤性脑梗塞早期诊断的准确性。结论小儿外伤性脑梗塞以基底节区多见。给予脱水,扩血管及神经保护剂、钙离子通道拮抗剂、激素等药物应用治疗预后良好。

Objective To explore the early diagnosis and the therapy of pediatric traumatic cerebral infarction. Methods Clinic features of 36 cases of pediatric traumatic cerebral infarction were observed and the CT, MRI images were analyzed. Results the specific head-neck trauma history, spasm after injury, no serious disturbance of consciousness, some clinical manifestations such as hemiplegia and aphasia 1-6 d later, the examinations of CT and MRI can increase the accuracy of early diagnosis of pediatric traumatic cerebral infarction. Conclusion Dehydration, vasodilator, nerve protective agent calcium channel blocker and hormones can better the prognosis if applied in the therapy. The pediatric traumatic cerebral infarction is more seen in basal ganglion.