小儿外伤性脑梗死34例临床分析

Clinical analysis of traumatic cerebral infarction in children:a report of 34 cases

目的探讨小儿外伤性脑梗死的发病机制、临床特点、诊断及治疗。方法回顾总结收治的均行非手术治疗34例小儿外伤性脑梗死的临床资料。结果32例随访6-12个月,治愈31例,治愈率96.88%,1例肢体肌力Ⅲ级。结论小儿外伤性脑梗死以婴幼儿多见,有明确外伤史,临床上有不同程度迟发性偏瘫者,应考虑为本病;CT、MRI检查可明确诊断,经积极的综合治疗,预后良好。

Objective To investigate etiology, clinical features, diagnosis and treatment in traumatic cerebral infarction in children. Methods Retrospective analyzed the clinical data of the traumatic cerebral infarction in children on 34 cases. Results All cases were using the conservative treatment. The follow- up periods of 32 cases were from 6 to 12 months. 31 cases were cured. The cure rate was 96.88%. The muscle strength of one case was 3 drgree. Conclusion The traumatic cerebral infarction in children which was most occurred in infants were more due to trauma. The disease should be consideresd when the patients were hemiplegia in vary degrees. CT and MRI scan are the preferred diagnostic method according to its clinical features. Early diagnosis and early treatment can enhance the effectiveness.