小儿急性肢体偏瘫60例病因与诊治探讨

Diagnosis and treatment of acute limbs hemiplegia syndrome in children

目的探讨小儿急性肢体偏瘫(ALH)的病因、诊断和治疗。方法回顾性分析60例ALH患儿临床资料、实验室检查。结果60例ALH患儿中,非特异性脑血管缺血性病变及颅脑外伤为主要病因,磁共振成像(MRI)及磁共振血管成像(MRA)检查在ALH诊断上提供重要信息,感染和颅脑外伤经综合治疗预后良好,3例应用高压氧疗效明显改善。结论感染及颅脑外伤是ALH主要病因,MRI及MRA是ALH重要的诊断技术,改善微循环、扩张脑血管药物及高压氧的使用是ALH治疗所需。

Objective To investigate pathogency, diagnosis and treatment of ALH in children. Methods The clinical data and lab examinations were retrospectively analyzed in ALH patients （n=60）. Results The main causes of ALH in children were nonspecific cerebrovascular ischemia disease and craniocerebral injury. MRI and MRA gave important imformation in diagnosis. The prognosis of infection and craniocerebral injury were good after therapy, 3 cases＇s prognosis got good result after hyperbaric oxygen. Conclusions Infection and craniocerebral injury are the main pathogeny of ALH in children, MRI and MRA are important examinations for ALH, It is essential to improve microcirculation and use vasodilatation, hyperbaric oxygen for ALH.