小儿颅内肿瘤的诊断与治疗(附83例报告)

Diagnosis and Treatment of Intracranial Tumors in Children (Report of 83 Cases)

本文报告了1987～1989年收治小儿(14岁以下)颅内肿瘤83例,占同期全年龄组颅内肿瘤的18％。临床特征有(1)小儿幕上肿瘤居多(占54％);(2)小儿颅内肿瘤恶性者多(占78.4％);(3)主要症状是呕吐、视力下降、复视、头痛、癫痫、偏瘫等;(4)对高颅压代偿能力大,加上语言能力差,故其误诊率高(达85.5％);(5)预后差。

This is a report about 83 children intracranial tumor cases (under 14 years old) treated in this hospital from 1987 to 1989. The report shows that the children cases made up 18% of the total intracranial tumor cases treated in this hospital in the same period. The Clinical characteristics of the children cases were: 1)Most cases were superior-tentorial tumors, accounting for 54% of the total.2)78.4% of the cases were malignant.3)The main sympotoms were headache, vomit-ing,hypopsia, diplopia, epilepsy, hemiplegia, etc.4)The compensatory power for increased intracranial pressure of the young patient was strong while the language ability showed low,so misdiagnosis rate were high up to 85.5%.5)the prognosis was poor.