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本文对6年间收治30列小儿脑动静脉畸形（AVM）进行临床、颅脑CT、脑血管造影影像学特点及治疗等进行分析：小儿脑AVM多见于5岁以上儿童，出血部位多见于顶额叶，其次为颞叶；临床上多表现为头疼，呕吐，肢体运动障碍，意识障碍。颅脑CT提示斑片状、四块高密度影，增强后无强化，脑血管造影可见畸形血管增粗、扩张、迂曲和不规则充盈或不显影。静脉早期充盈现象，多位于幕上。治疗方法：①药物治疗＋高压氧治疗。②血管内治疗。③手术治疗。小儿尤其是5岁以上儿童不明原因的头痛，呕吐，肢体运动障碍、蛛网膜下腔出血，癫痫应考虑脑AVM，须行颅脑CT平扫检查。病情允许可行脑血管造影确诊。如果伴有颅内出血、占位病变、定位体征时则须急症手术确诊。
In this paper, 30 cases of cerebral arteriovenous malformation (AVM) admitted to our hospital for 6 years were analyzed in terms of clinical features, brain CT, cerebral angiography features and treatment. AVM in children was more common in children over 5 years of age. Leaves, followed by temporal lobe; clinical manifestations of headache, vomiting, limb movement disorders, disturbance of consciousness. Brain CT prompted patchy, four high-density shadow, no enhancement after enhancement, cerebral angiography showed abnormal blood vessels thickening, dilation, tortuous and irregular filling or no visualization. Venous early filling phenomenon, mostly in the curtain. Treatment: ① drug therapy + hyperbaric oxygen therapy. ② endovascular treatment. ③ surgical treatment. In particular, children over 5 years old children with unexplained headache, vomiting, limb movement disorders, subarachnoid hemorrhage, epilepsy should be considered brain AVM, CT scan should be line of brain. The disease allows viable cerebrovascular angiography confirmed. If accompanied by intracranial hemorrhage, space-occupying lesions, signs of surgery are required emergency surgery confirmed.