中华小儿外科杂志
中華小兒外科雜誌
중화소인외과잡지
CHINESE JOURNAL OF PEDIATRIC SURGERY
2013年
2期
94-97
,共4页
脑血管障碍%体层摄影术,X线计算机%磁共振成像%血管造影术,数字减影
腦血管障礙%體層攝影術,X線計算機%磁共振成像%血管造影術,數字減影
뇌혈관장애%체층섭영술,X선계산궤%자공진성상%혈관조영술,수자감영
Cerebrovascular disorders%Tomography,X-Ray computed%Magnetic resonance imaging%Angiography,digital subtraction
目的 探讨儿童脑血管病的临床特点.方法 回顾性分析8例平均年龄为6.86岁的脑血管病患儿的年龄和性别分布情况与发病特点、病因、部位、诊断方法、治疗及预后情况.颅内出血诊断主要依赖头颅计算机断层扫描及核磁共振成像和数字减影血管成像.结果 男女比例为6:2,起病以急性或者亚急性为主(7/8,87.5％).主要临床表现依次为:单侧肢体乏力(4/8,50.0％),意识障碍(4/8,50.0％),头痛(4/8,50.0％),失语(1/8,12.5％),暂时性缺血性发作(1/8,12.5％).全部病例中已知病因动静脉畸形(3/8,37.5％)与烟雾病(3/8,37.5％)为首位病因,其余病因为微小动脉瘤(1/8,12.5％)及海绵状血管瘤(1/8,12.5％).烟雾病患儿均施以脑-硬膜-动脉-肌肉贴敷术,而动静脉畸形及微小动脉瘤患儿施以伽玛刀治疗.患儿总体治愈率为87.5％(7/8),好转率为12.5％(1/8),病死率为0％.结论 儿童脑血管病的发病有其特殊性,应高度重视伴有神经体征的患儿,尽早进行诊断与治疗,努力提高改善患儿预后.
目的 探討兒童腦血管病的臨床特點.方法 迴顧性分析8例平均年齡為6.86歲的腦血管病患兒的年齡和性彆分佈情況與髮病特點、病因、部位、診斷方法、治療及預後情況.顱內齣血診斷主要依賴頭顱計算機斷層掃描及覈磁共振成像和數字減影血管成像.結果 男女比例為6:2,起病以急性或者亞急性為主(7/8,87.5％).主要臨床錶現依次為:單側肢體乏力(4/8,50.0％),意識障礙(4/8,50.0％),頭痛(4/8,50.0％),失語(1/8,12.5％),暫時性缺血性髮作(1/8,12.5％).全部病例中已知病因動靜脈畸形(3/8,37.5％)與煙霧病(3/8,37.5％)為首位病因,其餘病因為微小動脈瘤(1/8,12.5％)及海綿狀血管瘤(1/8,12.5％).煙霧病患兒均施以腦-硬膜-動脈-肌肉貼敷術,而動靜脈畸形及微小動脈瘤患兒施以伽瑪刀治療.患兒總體治愈率為87.5％(7/8),好轉率為12.5％(1/8),病死率為0％.結論 兒童腦血管病的髮病有其特殊性,應高度重視伴有神經體徵的患兒,儘早進行診斷與治療,努力提高改善患兒預後.
목적 탐토인동뇌혈관병적림상특점.방법 회고성분석8례평균년령위6.86세적뇌혈관병환인적년령화성별분포정황여발병특점、병인、부위、진단방법、치료급예후정황.로내출혈진단주요의뢰두로계산궤단층소묘급핵자공진성상화수자감영혈관성상.결과 남녀비례위6:2,기병이급성혹자아급성위주(7/8,87.5％).주요림상표현의차위:단측지체핍력(4/8,50.0％),의식장애(4/8,50.0％),두통(4/8,50.0％),실어(1/8,12.5％),잠시성결혈성발작(1/8,12.5％).전부병례중이지병인동정맥기형(3/8,37.5％)여연무병(3/8,37.5％)위수위병인,기여병인위미소동맥류(1/8,12.5％)급해면상혈관류(1/8,12.5％).연무병환인균시이뇌-경막-동맥-기육첩부술,이동정맥기형급미소동맥류환인시이가마도치료.환인총체치유솔위87.5％(7/8),호전솔위12.5％(1/8),병사솔위0％.결론 인동뇌혈관병적발병유기특수성,응고도중시반유신경체정적환인,진조진행진단여치료,노력제고개선환인예후.
Objective To demonstrate the clinical features of pediatric cerebrovascular diseases.Methods Data of 8 cases of pediatric cerebrovascular diseases,aged 6.86 years,hospitalized in the past half year were analyzed retrospectively.The diagnosis of intracranial hemorrhage was mainly based on computer tomography (CT),magnetic resonance imaging (MRI) and digital substraction angiography (DSA).Results We study 6 boys and 2 girls.The onset of symptoms was acute or subacute in 87.5 ％ of the patients (7/8).The main manifestation included limbs debilitation (50.0％),loss of consciousness (50.0％),headache (50.0％),aphasia (12.5％) and transient ischemic attack (12.5％).The causes included arteriovenous malformation(AVM) (37.5％,3/8),aneurysm (12.5％,1/8),cavernoma (12.5,1/8),moyamoya disease (37.3 ％,3/8).7 patients (87.5 ％) recovered,while 1 patients (12.5 ％) showed improvement at discharged.Conclusions The clinical manifestation of pediatric cerebrovascular diseases has its own specificity.Patients with positive neurological signs should be thought highly and dealed timely to improve their outcome.
