摘要
本文报告儿童期 SAH63例,年龄35天～15岁。出血原因:AVM34例(54%),颅内肿瘤17例(27%),脊髓 AVM 及肿瘤各2例,脑动脉瘤、烟雾病、脑膜白血病、Sturge—Weber 氏综合征和先天性心脏病、脑出血各1例,原因不明者4例。由于儿童期 AVM 出血率较高,同时儿童期脑有较强的生物可塑性,作者主张积极手术治疗。脑 AVM 手术死亡率为6.7%。脑瘤引起出血与很多因素有关,如肿瘤的性质、部位及胶质瘤内部毛细血管结构等。一股情况,脑瘤伴出血者情况严重,死亡率高,早期手术预后较好。
The authors report sixty three cases of hemorrhagic stroke of child,aged from35 days to 15 years old were reperted.The series comprised of cerebral AVM in 34cases(54%);cerebral tumor in 17 cases(27%);spinal angioma and tumor 2 cases ineach;intracranial aneurysm,moya-moya disease,meningeal leukaemia,Sturge-Webersyndrome and congenital heart disease one case in each;SAH of unknown aetiologyin 4 cases.Owing to a higher risk of bleeding than that of adult and a better biolo-gic plasticity in child after operation,it was suggested that patients be treated byoperation actively.The mortality of operation was 6.7% in this AVM group.Hemo-rrhage of the brain tumor was related to many factors,such as the nature and loca-tion of the tumor,the capillary structure in gliomas and trauma and so on.Generallythe stroke of tumor was exceedingly serious,the mortality of operation was high andoperation should be done as soon as possible.
出处
《天津医药》
CAS
1989年第1期31-34,共4页
Tianjin Medical Journal
