小儿外伤性脑梗塞的诊断和治疗体会

目的探讨小儿外伤性脑梗塞的临床特点、发病机制、治疗方法及愈后。方法对23例外伤性脑梗塞患儿行头颅CT,MRI,EEG检查,应用药物治疗,并辅以高压氧治疗。结果 CT,MRI扫描梗塞均位于基底节区,其中有3例伴有有双侧豆状核钙化。全部患儿均治愈出院,随访6～12个月均无复发。结论根据病史,及时行头颅CT,MRI,EEG及时检查对小儿外伤性脑梗塞有重要的诊断价值,药物治疗与高压氧治疗是有效的方法,本病愈后良好。

Diagnosis and treatment of infantile traumatic cerebral infarction

Objective To investigate and analyze clinic features of infantile traumatic cerebral infarction,its pathogenesis and relative treatments.Methods CT,MRI,and EEG were employed in checking the brains of 23 infantile patients with traumatic cerebral infarction,and medicine was provided when high-pressure oxygen was employed for auxiliary purpose in their treatments.Results CT and MRT scanning indicated that the location of the infarction of all the patients was in the basal ganglion area of their brains and bilateral lenticular nucleus calcifications were also found in three cases.After treatments,all the patients mentioned above recovered,and the follow-up visits in six or twelve months after their recovery revealed no signs of recurrence.Conclusion The employment of CT,MRI and EEG in checking the patients＇ brains in a prompt manner on the basis of their medical history plays a significant role in the diagnosis of the disease;and the employment of medicine and high-pressure oxygen in the treatment is an effective method in curing the disease,which would produce good recovery.