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儿童急性偏瘫病因甚多.本文仅就对平素健康的27例儿童急性偏瘫的临床及CT表现做一综合分析.1 临床资料1.1 一般资料 男15例、女12例.年龄25天～12岁平均5.6岁.1.2 临床表现 27例患儿平素健康.18例病前有诱发因素.12例患儿受惊吓史.6例病前有“感冒”史.其中1 例在癫痫发作后出现偏瘫.19例夜间发病,病后伴癫痫发作8例.体温37.5℃以上6例.其中40℃以上2例.血压均正常.意识障碍17例.其中4例昏迷.失语8例、偏盲因小儿欠合作未能统计.偏瘫右侧16例,左侧11例.瘫痪侧上下肢肌力0级6例.Ⅰ～Ⅱ级10例.Ⅲ～Ⅳ级11例.1.3 辅助检查 凝血酶原时间延长3例,血沉增快2例.27例病后1～5天均做腰穿检查:脑脊液压力增高17例.血性脑脊液2例,蛋白小于0.4g/L19例.0.4～0.7g/L5例.WBC均小于15×10~6/L,排除了颅内炎症.1.4 CT表现 脑实质出血6例,其中2例并蛛网膜
Children with acute hemiplegia for many reasons.This article only on the general health of 27 cases of acute hemiplegia in children with clinical and CT manifestations to do a comprehensive analysis.1 Clinical data 1.1 General information 15 males and 12 females.Ages 25 days to 12 years old average 5.6 years old .1.2 Clinical manifestations 27 cases of children with normal health .18 patients with predisposing factors .12 patients were scared of history .6 patients had a history of “cold.” One case of hemiplegia after the onset of seizures.19 Cases of nocturnal onset, sick with epilepsy in 8 cases. Temperature above 37.5 ℃ in 6 cases. Of which more than 40 ℃ in 2 cases. Blood pressure were normal. Disorders in consciousness in 17 cases. 4 cases of coma. Aphasia in 8 cases, partial blind due to pediatric cooperation. Statistics can be 16 cases of hemiplegia on the right side of the left in 11 cases paralyzed side of the upper and lower limb muscle strength 0 6 cases Ⅰ ~ Ⅱ grade in 10 cases Ⅲ ~ Ⅳ grade 11 cases.1.3 auxiliary examination of prothrombin time in 3 cases, Eosinophilia increased in 2 cases .27 cases of 1 to 5 days after lumbar puncture were performed: elevated cerebrospinal fluid pressure in 17 cases .2 cases of bloody cerebrospinal fluid, protein less than 0.4g / L19 cases .0.4 ~ 0.7g / L5 cases.WBC were less than 15 × 10 ~ 6 / L, ruled out intracranial inflammation.1.4 CT showed cerebral parenchymal hemorrhage in 6 cases, of which 2 cases and arachnoid