目的探讨外伤后腔隙性脑梗死的临床特点及治疗效果。方法回顾性分析2000年1月～2003年12月收治的外伤后腔隙性脑梗死患儿23例。结果全部23例均住院保守治疗,其中21例(91.3%)痊愈出院,另2例(8.8%)出院时遗有轻残。17例患儿随访6～12个月,临床症状均完全消失,2例轻残者已痊愈。结论外伤后腔隙性脑梗死是以单侧躯体运动障碍为主要表现的神经系统损害的综合征,本病多见于轻度颅脑外伤的患儿,CT扫描及其定期复查能够显著提高本病的确诊率,绝大多数患儿的远期治疗效果良好。 Objective To investigate the clinical characteristics and therapeutic effect of lacunar cerebral infarction after traumatic injury. Methods Twenty-three children with lacunar infarction after trauma were retrospectively analyzed from January 2000 to December 2003. Results All 23 cases were hospitalized conservatively, of which 21 (91.3%) were cured and discharged, while the other 2 (8.8%) were left with mild disability at discharge. 17 cases of children were followed up for 6 to 12 months, the clinical symptoms were completely disappeared, 2 cases of light residual have been cured. Conclusion Post-traumatic lacunar infarction is a syndrome characterized by unilateral motor dysfunction as the main manifestation of nervous system damage. This disease is more common in children with mild craniocerebral trauma. CT scan and its regular review can significantly improve the disease The diagnosis rate, the vast majority of children with long-term treatment effect is good.