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目的探讨小儿外伤性脑梗塞的诊断与治疗。方法对36例小儿外伤性脑梗塞进行临床观察及脑CT、MRI扫描。结果确切的头颈部外伤史,伤后抽搐、无严重意识障碍,1-6d后出现偏瘫、失语等临床表现,头颅CT、MRI检查可提高小儿外伤性脑梗塞早期诊断的准确性。结论小儿外伤性脑梗塞以基底节区多见。给予脱水,扩血管及神经保护剂、钙离子通道拮抗剂、激素等药物应用治疗预后良好。
Objective To investigate the diagnosis and treatment of pediatric traumatic cerebral infarction. Methods Thirty-six pediatric traumatic cerebral infarction were observed with brain CT and MRI. Results The exact history of head and neck trauma, convulsions after convulsion, no serious disturbance of consciousness, and clinical manifestations such as hemiplegia and aphasia after 1-6 days. CT and MRI can improve the accuracy of early diagnosis of pediatric traumatic cerebral infarction. Conclusion Pediatric traumatic cerebral infarction is more common in basal ganglia. Give dehydration, vasodilators and neuroprotective agents, calcium channel blockers, hormones and other drugs used in the treatment of prognosis is good.