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小儿急性偏瘫的病因复杂,为提高其病因学诊断水平,应用脑CT对本病进行诊断,并对其病因诊断意义做一探讨。 临床资料 一、一般资料:本组56例,男31例,女25例;年龄6个月至12岁,平均年龄6岁。56例发病均以急性偏瘫就诊,发病时间6小时至3天。除偏瘫外还有发热、头痛及呕吐者28例,颈强者10例,癫痫发作者5例,昏迷者1例。56例均行脑CT平扫,结果为脑梗塞38例,脑血肿7例,脑炎4例,脑瘤4例,正常3例。为了进一步定性诊断12例行增强CT扫描,发现动脉瘤8例,动静脉畸形2例,另2例更加明确为脑瘤。4例CT平扫考虑脑炎者,后均经实验室检查
The causes of acute hemiplegia in children is complex, in order to improve the diagnosis of its etiology, the application of brain CT diagnosis of the disease, and to explore the significance of its etiology. Clinical data First, the general information: The group of 56 patients, 31 males and 25 females; aged 6 months to 12 years old, with an average age of 6 years. 56 cases were treated with acute hemiplegia, the onset time of 6 hours to 3 days. In addition to hemiplegia but also fever, headache and vomiting in 28 cases, 10 cases of strong neck, 5 cases of seizures, coma in 1 case. Fifty-six cases underwent CT scan. The results were cerebral infarction in 38 cases, cerebral hematoma in 7 cases, encephalitis in 4 cases, brain tumor in 4 cases and normal in 3 cases. In order to further qualitative diagnosis of 12 cases of enhanced CT scan, aneurysm found in 8 cases, 2 cases of arteriovenous malformations, and the other 2 cases more clearly for brain tumors. 4 cases of CT scan consider encephalitis, after laboratory tests