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| 儿童外伤后脑梗塞32例分析 | |
| 引用本文： | 王宇田 赵建农. 儿童外伤后脑梗塞32例分析[J]. 中华神经外科杂志, 1997, 13(6): 345-346 |
| 作者姓名： | 王宇田 赵建农 |
| 作者单位： | 海南省人民医院神经外科 |
| 摘 要： | 目的：结合文献分析探讨儿童外伤后脑梗塞的发病机理和治疗效果。方法：总结３２例经ＣＴ证实的儿童外伤后脑梗塞的临床、影像学表现、治疗结果和预后。结果：儿童外伤后脑梗塞多发生于一侧基底节区，临床表现和ＣＴ扫描结果与腔隙性脑梗塞相似，但有明确的外伤史，治疗效果较好，随访６个月９４％痊愈。结论：儿童外伤后脑梗塞的发病机理是由于儿童基底节区供血的大脑前、中动脉的穿支动脉直角从主干分出，细长迂曲，发育不成熟，调节能力差，在外伤产生脑组织相对运动时，出现血管牵拉、变形、移位，造成血管内膜损伤，形成血栓，梗塞。局部缺血水肿的脑组织又加重了血管压迫。 |
| 关 键 词： | 儿童 颅脑损伤 脑梗塞 |
The clinical analysis of the posttraumatic cerebral infarction in children |
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| Wang Yutian,Zhao Jiannong,Luo Guanghua,et al.. The clinical analysis of the posttraumatic cerebral infarction in children[J]. Chinese Journal of Neurosurgery, 1997, 13(6): 345-346 | |
| Authors: | Wang Yutian Zhao Jiannong Luo Guanghua et al. |
| Affiliation: | Wang Yutian,Zhao Jiannong,Luo Guanghua,et al. Department of Neurosurgery,The People's Hospital of Hainan Province,Haikou,570311 |
| Abstract: | Objective: To study the etiology and treatment of the posttraumatic cerebral infarction in children. Methods: Retrospective study has been done about the symptom, CT, treatment, and prognosis in 32 patients with the cerebral infarction following head injury in children confirmed by CT scan. Results: The clinical symptom of the cerebral infartion after head injury in children is similiar to that of the launar infarction, but the former has suffered from head injury, and 94% cases of it has a good recovery. Conclusions: The mechanism of this diseases is that the artery in the basal ganglia branching from the anterior and middle cerebral artery is damaged after the head injury. |
| Keywords: | Children Head injury Cerebral infarction |
| 本文献已被 CNKI 维普 等数据库收录！ | |