论文部分内容阅读
目的总结和探讨小儿自发性脑出血的抢救治疗程序及术后早期康复治疗的干预。方法对我科在1997年1月~2005年3月抢救治疗的23例自发性脑出血患儿进行回顾性分析。结果本组23例中脑血管动静脉畸形(AVM)21例;小儿烟雾病脑出血2例;大量出血并脑疝5例。随访3个月至7年,23例患儿中恢复学习16例,生活自理5例,植物状态生存1例,死亡1例。结论严格的抢救诊治程序:先急查头部CT,再加CT动脉血管造影/磁共振血管造影或加全脑血管造影,最后选择急诊手术、介入栓塞术或伽玛刀治疗是提高抢救成功率的保证。早期康复治疗的干预,可减少脑出血后神经系统后遗症的发生。
Objective To summarize and discuss the rescue and treatment program of pediatric spontaneous cerebral hemorrhage and the intervention of early postoperative rehabilitation. Methods A retrospective analysis of 23 cases of spontaneous cerebral hemorrhage treated in our department from January 1997 to March 2005 was performed. Results The group of 23 cases of middle cerebral artery AVM (21 cases); children with moyamoya disease in 2 cases; massive bleeding and cerebral hernia in 5 cases. During the follow-up of 3 months to 7 years, 23 children recovered from learning in 16 cases, living in 5 cases, 1 in plant state and 1 in death. Conclusion Strict diagnosis and treatment procedures: the first urgent examination of the head CT, combined with CT angiography / magnetic resonance angiography or total cerebral angiography, the last choice of emergency surgery, interventional embolization or gamma knife treatment is to improve the success rate of rescue The guarantee. Early rehabilitation intervention can reduce the occurrence of neurological sequelae after intracerebral hemorrhage.