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目的回顾性分析25例小儿外伤性基底节区腔隙性梗死的诊断与治疗方法。方法男15例,女10例,年龄均小于10岁,平均(4.3±1.6)岁。头部受伤程度相对较轻,头颅CT检查均可见明确的基底节区腔隙性梗死灶,治疗方法采用脱水、激素、扩血管药物、神经营养药物、高压氧及早期功能锻炼等综合治疗。结果伤后6个月按GOS标准进行治疗效果评定,结果恢复良好20例,轻残5例。结论小儿外伤性基底节区梗死发生多与伤后头部过伸、旋转等作用力致脑血管痉挛、微循环障碍等有关,伤后采取积极、妥善的综合性治疗绝大多数患儿能获得完全恢复。
Objective To retrospectively analyze the diagnosis and treatment of lacunar infarction in 25 cases of pediatric traumatic basal ganglia. Methods 15 males and 10 females, all less than 10 years old, with an average of (4.3 ± 1.6) years. Head injury is relatively mild, head CT examination showed a clear basal ganglia lacunar infarction, the treatment of dehydration, hormones, vasodilators, neurotrophic drugs, hyperbaric oxygen and early functional exercise and other comprehensive treatment. The results of 6 months after injury by GOS standards for the evaluation of the therapeutic effect, the results of good recovery in 20 cases, mild residual in 5 cases. Conclusions Infantile traumatic basal ganglia infarction occurred more and more after the head hyperextension and rotation caused by cerebral vasospasm, microcirculation and other related, after the injury to take a positive and appropriate comprehensive treatment of most children can be obtained full recovery.