中华神经外科杂志
中華神經外科雜誌
중화신경외과잡지
Chinese Journal of Neurosurgery
2012年
1期
13-16
,共4页
脑出血%颅内动静脉畸形%儿童%神经外科手术
腦齣血%顱內動靜脈畸形%兒童%神經外科手術
뇌출혈%로내동정맥기형%인동%신경외과수술
Cerebral hemorrhage%Intracranial arteriovenous malformations%Child%Neurosurgical procedures
目的 探讨儿童期自发性颅内出血的发病特征、临床表现、手术治疗以及预后情况.方法 回顾性分析2004年1月至2009年1月期间收治的儿童期(≤14岁)自发性颅内出血患者85例.结果 儿童期自发性颅内出血病因以脑动静脉畸形多见(84.7％),其次是烟雾病(8.2％),动脉瘤少见(3.5％).出血部位多位于脑实质内,幕上多于幕下.以头痛、呕吐为首发症状者多见.DSA是脑血管疾病诊断的金标准.血肿清除加针对性手术是有效的治疗方法.结论 儿童期自发性颅内出血最主要的病因是动静脉畸形,手术切除是首选方式,可取得良好效果.
目的 探討兒童期自髮性顱內齣血的髮病特徵、臨床錶現、手術治療以及預後情況.方法 迴顧性分析2004年1月至2009年1月期間收治的兒童期(≤14歲)自髮性顱內齣血患者85例.結果 兒童期自髮性顱內齣血病因以腦動靜脈畸形多見(84.7％),其次是煙霧病(8.2％),動脈瘤少見(3.5％).齣血部位多位于腦實質內,幕上多于幕下.以頭痛、嘔吐為首髮癥狀者多見.DSA是腦血管疾病診斷的金標準.血腫清除加針對性手術是有效的治療方法.結論 兒童期自髮性顱內齣血最主要的病因是動靜脈畸形,手術切除是首選方式,可取得良好效果.
목적 탐토인동기자발성로내출혈적발병특정、림상표현、수술치료이급예후정황.방법 회고성분석2004년1월지2009년1월기간수치적인동기(≤14세)자발성로내출혈환자85례.결과 인동기자발성로내출혈병인이뇌동정맥기형다견(84.7％),기차시연무병(8.2％),동맥류소견(3.5％).출혈부위다위우뇌실질내,막상다우막하.이두통、구토위수발증상자다견.DSA시뇌혈관질병진단적금표준.혈종청제가침대성수술시유효적치료방법.결론 인동기자발성로내출혈최주요적병인시동정맥기형,수술절제시수선방식,가취득량호효과.
Objective To investigate the characteristics,clinical manifestation,surgical treatment and prognosis of spontaneous intracerebral hemorrhage ( SIH ) in childhood.Method During a 5 - year period from 2004 to 2009,85 cases of spontaneous intracerebral hemorrhage in children( ≤ 14 years of age) were studies retrospectively.Results The main reason of spontaneous intracranial hemorrhage in children was cerebral arteriovenous malformation( AVM ) (84.7％ ),then Moyamoya disease (MMD) (8.2％ ),and aneurysm was rare(3.5％ ).Bleeding sites were mostly located in the brain parenchyma,supratentorial cases more than infratentorial. Headache,vomiting as initial symptoms were more common. DSA was the gold standard for diagnosis of cerebrovascular disease.Hematoma removal and lesion resection was the effective treatment.Conclusions AVM is the most important cause of spontaneous intracranial hemorrhage in childhood,surgical resection is the preferred method which can achieve good results.
