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小儿脑性麻痹(简称CP)是从胎生期到生后4周内由于脑损伤引起的后遗症,主要表现为永久性运动障碍。虽医学已有很大进步,现今仍认为CP是难以完全治愈的,且无完善的疗法,因此预防发生本症是当前急待解决的问题。本文就其发生原因、病理、神经生理与症状、早期诊断以及与脑性麻痹发生有关的几种围产期异常综述如下。一、发生原因本症的发生原因很多,概括见表一,出生前者为20～30%,围产期者70～80%,出生后者10～20%。围产期原因中窒息、重症黄疸及早产儿为三大主要原因。近年来
Pediatric cerebral palsy (CP) is a sequelae caused by brain injury from the first trimester to the fourth week of life, which is mainly manifested as permanent dyskinesia. Although medicine has made great progress, it is still considered that CP is difficult to be totally cured nowadays and there is no perfect therapy. Therefore, the prevention of this disease is the most urgent problem to be solved. This article on its causes, pathology, neurophysiology and symptoms, early diagnosis and cerebral palsy associated with several perinatal abnormalities are summarized below. First, the causes of this disease occurs for many reasons, summarized in Table 1, the former is 20 to 30%, perinatal 70 to 80%, the latter 10 to 20%. Perinatal causes of asphyxia, severe jaundice and premature children for the three main reasons. In recent years