CAJ | 학술논문

目的：探讨小儿外伤性基底节区梗死的发生机制、临床特点、治疗和预后。方法回顾性分析2007年1月~2013年12月我院收治的59例外伤性基底节区梗死患儿的临床资料。结果按格拉斯哥预后评分（Glasgow Outcome Scale，GOS）标准：恢复良好51例（86.4%），中残5例（8.5%），重残3例（5.1%），无植物生存和死亡。结论颅脑损伤后，基底节区血供特点、小儿自身特点、微循环障碍是小儿外伤性基底节区梗死的主要发生机制。临床特点：（1）头外伤较轻，多无意识障碍；（2）神经功能缺失征明显，以运动型功能障碍为主；（3）头颅CT和（或）MRI可明确诊断。治疗方法为解痉、小剂量脱水、早期高压氧治疗和肢体功能锻炼。对外伤性基底节区梗死患儿及早明确诊断，进行积极有效的综合治疗，绝大多数患儿可获得满意的远期疗效。
목적：탐토소인외상성기저절구경사적발생궤제、림상특점、치료화예후。방법회고성분석2007년1월~2013년12월아원수치적59예외상성기저절구경사환인적림상자료。결과안격랍사가예후평분（Glasgow Outcome Scale，GOS）표준：회복량호51례（86.4%），중잔5례（8.5%），중잔3례（5.1%），무식물생존화사망。결론로뇌손상후，기저절구혈공특점、소인자신특점、미순배장애시소인외상성기저절구경사적주요발생궤제。림상특점：（1）두외상교경，다무의식장애；（2）신경공능결실정명현，이운동형공능장애위주；（3）두로CT화（혹）MRI가명학진단。치료방법위해경、소제량탈수、조기고압양치료화지체공능단련。대외상성기저절구경사환인급조명학진단，진행적겁유효적종합치료，절대다수환인가획득만의적원기료효。
Objective To explore the pathogenesis, clinical features, treatment and prognosis of traumatic infarction of basal ganglia in infants.MethodsA retrospective analysis was conducted for 59 children with traumatic infarction of basal ganglia enrolled in our hospital from Jan.2007 to Dec.2013.ResultsAccording to the Glasgow Outcome Scale scores: 51 patients were classified as good recovery(86.4%), 5 moderate neurological deficit (8.5%), 3 severe neurological deficit(5.1%), no vegetative state or death.Conclusion The main mechanism of posttraumatic infarction of basal ganglia in infants includes the characteristics of blood supply in basal ganglia after brain injury, individual factors and microcirculation disorder. The Clinical features as follow: (1) the lighter headtrauma without consciousness; (2) obviously neural function deficientsyndrome in sports-oriented; (3) CT and (or) MRI can make a definite diagnosis. The treatment includes antispasmodic, small dose of dehydration, early hyperbaric oxygen therapy and limb functional exercise. Most patients of traumatic basal ganglia infarction can obtain satisfactory long-term curative effect by early diagnosis and active and effective comprehensive treatment measures.