小儿出血性脑血管病18例分析

来源 :中国误诊学杂志 | 被引量 : 0次 | 上传用户:ywdiy_cn
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目的探讨小儿出血性脑血管病的病因,诊断及治疗方法。方法回顾性分析18例出血性脑血管病的临床资料,小儿出血性脑血管病,特别是严重的颅内出血常遗留有严重的后遗症,如脑积水,运动、认识障碍、双下肢痉挛瘫痪、视觉损害、认知障碍。结果 18例通过治疗,4例入院后不久病情迅速进展恶化死亡。余14例有4例遗留有脑积水,2例偏瘫,2例认知障碍,余6例完全康复。结论小儿出血性脑血管病准确有效的诊断、治疗以及围产技术及新生儿重症监护水平的提高对降低儿童特别是新生儿伤残率有重要意义。 Objective To investigate the etiology, diagnosis and treatment of pediatric hemorrhagic cerebrovascular disease. Methods Retrospective analysis of 18 cases of hemorrhagic cerebrovascular disease clinical data, hemorrhagic cerebrovascular disease in children, especially severe intracranial hemorrhage often left serious sequelae, such as hydrocephalus, exercise, cognitive impairment, paralysis of both lower limb spasm, Visual impairment, cognitive impairment. Results 18 cases passed the treatment and 4 cases died of rapid progression shortly after admission. In the remaining 14 cases, 4 cases left hydrocephalus, 2 cases of hemiplegia, 2 cases of cognitive impairment, more than 6 cases of complete recovery. Conclusion The accurate and effective diagnosis and treatment of hemorrhagic cerebrovascular disease in children and improvement of perinatal technology and neonatal intensive care are of great significance in reducing the disability rate of children, especially neonates.
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