小儿外伤性大面积脑梗塞临床分析

摘要

目的：探讨儿童外伤性大面积脑梗塞的发病机理和临床特征。方法对昆明市儿童医院2009年9月—2014年5月间收治的36例儿童外伤性大面积脑梗塞的临床资料进行回顾性分析。结果36例患儿年龄从4个月~11岁，受伤原因包括高处坠落伤、车祸伤和重物击打伤。所有患儿均在伤后1周内确诊。根据格拉斯哥预后评分标准，恢复良好11例，轻度残疾16例，重度残疾5例，植物生存1例，死亡3例。结论儿童外伤性大面积脑梗塞是严重的脑外伤并发症，诊断主要依靠CT或MRI，强调早期诊断和早期治疗。%Objective To discuss the pathogensis, clinical features of posttraumatic cerebral massive infarction in children. Meth-ods 36 cases with posttraumatic cerebral massive infarction in past five years were investigated retrospectively in Kunming ’s chil-dren’s hospital between 2009 and 2014. Results The age of the patients ranged from 4 months to 11 years. The cause of injury are high falling injury,accident and heavy combat injuries. All of the patients were diagnosed within 1 week. According to the Glasgow outcome scale standards, 11 patients recoveredwell ,mildly disabled in 16 cases, severe disability in 5cases, plant survival in 1, 3 patients died. Conclusion Children withtraumatic large cerebral infarction is a serious complication of braintrauma, diagno-sis relies mainly on CT or MRI, emphasis on early diagnosisand early treatment.