儿童期良性颅内压增高的诊断与治疗

Diagnosis and treatment of benign int(?)cranial hypertension in children

报告26例儿童期良性颅内压增高,病因以头部创伤、病毒或细菌感染较常见(73.1%),其次为内分泌障碍、蛛网膜下腔出血和贫血。临床表现主要为颅内压增高及眼部征象。采用利尿与脱水剂、类固醇药物、反复腰穿、脑室持续引流或颞肌下减压术治疗。23例(88.5%)获治愈或好转,无死亡。作者主张对本病应早诊早治,才能获得最佳疗效。

Twenty-six children with benign intracranialhypertension are reported.Head injury,viral orbacteria infection was the most common etiologiesof the disease(73.1%),and other 15.4% of patientswas due to endorine disorder,subarachnoid hemo-rrhage and anaemia.Clinical manifestations ofthem showed the features of the increasedintracranial pressure and eye signs.Treatment ofthose patients included the drugs of diamox,man-nital.(?)teroid,ect,and lumbar punctures,con-tinuous ventricular drainage or subtemporal decom-pression.Twenty-three patients(88.5%)showeda satisfactory recovery and no mortality rate inthis group.The authors advocated that early diagn-osis and treatment should be given to the patientsand good result could be obtained.