儿童自发性脑出血17例临床分析

目的探讨儿童自发性脑出血的病因、诊断及治疗。方法对17例儿童自发性脑出血临床资料进行回顾性分析。结果本组17例中血管畸形9例，迟发性维生素K1缺乏症1例，病因不明7例。治愈3例，好转12例，未愈2例，无死亡病例。结论脑血管畸形是儿童自发性脑出血的主要原因，结合CT、MRI以及DSA等检查手段多能明确儿童自发性脑出血病因，早期明确诊断、及时治疗，预后良好。

Clinical analysis of 17 children with spontaneous intracerebral hemorrhage

Objective To study the cause, the diagnosis and the treatment of the spontaneous intraccrbral hemorrhage in children. Methods The clinical data of 17 children with spontaneous intracerebral hemorrhage were retrospectively analyzed, Results Amomg the 17 cases, there were 9 cases with vascular malformation, 1 case with tardive avitaminosis of vitamin K1 , and 7 cases with unknown cause. The outcome of 3 cases were excellent, 12 cases were improved,2 cases were unimproved, and no dead case was found. Conclusion The vascular malformation is mainly responsible for the spontaneous intracerbral hemorrhage in children. The mostly causes of the spontaneous intracerbral hemorrhage in children could be identified by CT, MRI and DSA. These patients must be diagnosed and treated in time, and their outcome would be favourable.