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儿童大面积脑梗死一例报告
引用本文:赵晓云,宋维旭,马永德,王君霞.儿童大面积脑梗死一例报告[J].临床误诊误治,2011,24(11):72-74.
作者姓名:赵晓云  宋维旭  马永德  王君霞
作者单位:1. 兰州军区总医院儿科, 兰州,730050
2. 兰州军区总医院安宁分院皮肤科, 兰州,730070
摘    要:目的提高对儿童脑梗死的认识,以降低致死、致残率。方法回顾分析1例儿童大面积脑梗死的临床资料。结果患儿因右侧肢体无力9个月余,抽搐1次收入院。曾于外院行颅脑磁共振动脉造影(MRA)检查示右侧额叶后部、颞顶叶、岛叶及左侧基底核区脑梗死。入我院4 h后患儿意识进行性恶化至深昏迷,双侧瞳孔不等大,对光反射消失。急诊行颅脑MR检查示右侧大脑中动脉供血区急性脑梗死;左侧基底核区陈旧性脑梗死;脑疝形成。家属放弃治疗,患儿出院。于离院后4 h死亡。结论儿童脑梗死的常见病因有感染、外伤、血管畸形、全身性疾病及动脉发育不良等,治疗原则同成人,对明确病因的患儿应同时加强病因治疗。

关 键 词:脑梗死  儿童

A Case Report of Extensive Cerebral Infarction in Children
Zhao Xiao-yun,SONG Wei-xu,MA Yong-de,WANG Jun-xia.A Case Report of Extensive Cerebral Infarction in Children[J].Clinical Misdiagnosis & Mistherapy,2011,24(11):72-74.
Authors:Zhao Xiao-yun  SONG Wei-xu  MA Yong-de  WANG Jun-xia
Institution:Zhao Xiao-yun1,SONG Wei-xu2,MA Yong-de1,WANG Jun-xia1(1.Department of Pediatrics,the General Hospital of Lanzhou Military Area Command,Lanzhou 730050,China,2.Department of Dermatology,the General Hospital,Anning Branch of Lanzhou Military Area Command,Lanzhou 730070,China)
Abstract:Objective To raise the awareness of cerebral infarction in clildren to induce mortality and morbidity rates. Methods Retrospective analysis of the clinical date of one case of extensive cerebral infarction in children was conducted.Results The child was admitted to the hospital with the right limb weakness for 9 months,and with onset of seizure attack.The brain magnetic resonance angiography(MRA) examination in the previous hospital revealed that the back of the right frontal lobe,temporal lobe,insula and l...
Keywords:Infarction of the brain  Child  
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