论文部分内容阅读
外伤性脑梗塞较少见。我院自1989年3月至1991年9月共收治2例经CT证实的外伤性脑梗塞病人,治疗效果满意,报告如下: 例1:男,4岁。1天前自1米高墙上跌下,头部着地,当即昏迷5分钟,醒后头痛,恶心,呕吐1次。伤后1小时发现左侧肢体不能活动而入我院。入院查体:神清语利,双瞳孔等大圆形,对光反应灵敏,左侧鼻唇沟变浅,颈无抵抗,右侧肢体肌力Ⅴ级,左侧肢体肌力0级,肌张力增高,Babinski征(+)。颅骨平片阴性。头部CT示:右侧基底节区可见1.O×1.2cm低密度区,CT值14Hu,中线结构无移位。临床诊断:外伤性脑梗塞。经用复方丹参、右旋醣酐、脑活素等,结合功能练习,病人于2个月后左上肢肌力Ⅳ级,左下肢肌力Ⅴ级。
Traumatic cerebral infarction is rare. Our hospital from March 1989 to September 1991 were treated 2 CT confirmed traumatic cerebral infarction patients, the treatment effect is satisfactory, the report is as follows: Example 1: Male, 4 years old. 1 day ago, falling from the wall of 1 meter, head to the ground, immediately coma for 5 minutes, wake up headache, nausea, vomiting 1. One hour after injury, we found that the left limb can not move into our hospital. Admission examination: Shen Qing language Lee, double pupil and other large round, sensitive to light, the left nasolabial fissure shallow neck non-resistance, right limb muscle strength grade Ⅴ, left limb muscle strength 0, muscle Tension increased, Babinski sign (+). Skull plain film negative. Head CT showed: the right basal ganglia visible 1. O × 1.2cm low-density area, CT value 14Hu, midline structure without displacement. Clinical diagnosis: traumatic cerebral infarction. With compound Danshen, dextran, cerebrolysin, combined with functional exercises, patients in 2 months after the left upper limb muscle strength Ⅳ, left lower extremity muscle strength Ⅴ level.