婴幼儿急性颅脑损伤的诊治体会(附56例临床分析) |
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引用本文: | 张海江,麦洁文,李德泽. 婴幼儿急性颅脑损伤的诊治体会(附56例临床分析)[J]. 右江民族医学院学报, 1997, 0(Z1) |
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作者姓名: | 张海江 麦洁文 李德泽 |
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作者单位: | 广东省高州市人民医院 |
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摘 要: | 通过对56例3岁以下小儿急性颅脑损伤分级与GCS分极两种方法的比较,发现前者能够相对准确地反映婴幼儿急性脑损伤的伤情。提示诊断婴幼儿颅内高压及颅内血肿的可靠指标为:意识障碍及其变化、呕吐、抽搐、前囟紧张、贫血。强调头颅CT检查在婴幼儿颅脑损伤诊断中的决定性作用。并提出几点治疗中应注意的问题。
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关 键 词: | 婴幼儿;脑损伤;治疗学 |
Diagnosis and treatment of acute craniocerebral injury in infants and young children: Clinical analysis of 56 cases |
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Abstract: | rading of acute craiocerebral injury and GCS grading were compared in 56 young children under 3 years old. It was found that the former can reflect more accurately the conditions of acute craniocereral injury in infants and young children. It is suggested that reliable indexes in diagnosing intracranial hypertension and intracranial hematoma in infants and young children might be as follows: disturbance of consciousness and its change, vomit, convulsion, bregmatic tonus and anemia. The decisive role of CT examination on skull in diagnosis of craniocerebral injury in infant and young children was emphasized and problems which should be noticed in the treatment were also put forward. |
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Keywords: | infants and young children cerebral injury therapeutics |
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