CAJ | 학술논문

目的探讨小儿急性偏瘫综合征(AHS)的诊断与治疗。方法对16例AHS临床资料，结合实验室检查进行分析，特别是与磁共振血管造影(MRA)检查对比；均采取针对病因及抗凝和扩血管治疗。结果16例AHS病例中12例(75％)发现脑血管异常改变(大脑底部血管网l例、基底节梗死灶4例、大脑中动脉分支狭窄或闭塞7例)；采用综合治疗方法，预后良好。结论MRA是AHS重要的诊断技术；早期抗凝和扩血管药物的使用是AHS治疗所需。
목적탐토소인급성편탄종합정(AHS)적진단여치료。방법대16례AHS림상자료，결합실험실검사진행분석，특별시여자공진혈관조영(MRA)검사대비；균채취침대병인급항응화확혈관치료。결과16례AHS병례중12례(75％)발현뇌혈관이상개변(대뇌저부혈관망l례、기저절경사조4례、대뇌중동맥분지협착혹폐새7례)；채용종합치료방법，예후량호。결론MRA시AHS중요적진단기술；조기항응화확혈관약물적사용시AHS치료소수。
Objective To study the diagnosis and treatment of acutehemiplegia syndrome in children. Methods 16 AHS patients were studied by EEG、CT、MRI 、MRA as the combined diagnostic methods. All AHS children were treated by anti - coagulation and vasodilatation. Results 12 cases had cerebrovascular abnormalities, including 1 Moyamoya, 4 basal ganglion infarct and 7 severe narrowing or occlusions. After treatment the prognosis was good. Conclusions The result indicates that MRA shows good ability of detecting intracranial vascular disorders in AHS study. It is essential to use anti- coagulation and vasodilatation early for AHS.