摘要
目的：探讨小儿自发性脑出血的病因及其诊治方法的选择。方法：小儿自发性脑出血２５例，多见于８～１４岁，临床上癫痫发生率（４４．０％）明显高于成人，部分患儿有贫血表现。病因以脑动静脉畸形（ＡＶＭ）最常见（４８．０％），血液病（１６．０％）次之，约１／４患儿病因不明。出血量大、病情进展快者宜急诊手术清除血肿，并及时行脑血管造影及全身系统检查明确病因、作相应治疗。小儿ＡＶＭ采用血管内栓塞、手术切除或栓塞加手术切除。结果：治愈１９例（７６．０％），好转３例（１２．０％），死亡３例（１２．０％）。随访１６例（１～６．５年），１例死亡，１例再出血，余１４例健康生存。结论：小儿自发性脑出血最常见病因是动静脉畸形和血液病，如诊断治疗及时，预后良好。
Objective: To investigate the causes and treatment of the spontaneous intracerebral hemorrhage in children. Methods: Twentyfive patients in childhood (most of them were 8 to 14 years old) with spontaneous intracerebral hemorrhage (SICH) were presented. The main causes of SICH in children were brain arteriovenous malformations (48%) and blood diseases (16%), but the causes in about one fourth of these cases were unknown. Early diagnosis and treatment of the original diseases and SICH are critical in management of these patients. Results: Nineteen cases were cured, 3 cases were improved, and the other 3 cases died. Followup studies (16 cases for 1 to 65 years) indicated that 14 patients were satisfactorily recarperated, one had rehemorrhage, and one died. Conclusion: The most comman causes of the SICH in children are arteriovenous malformation and blood disease. The outcome of these patients is good if diagnosed and treated on time.
出处
《中华神经外科杂志》
CSCD
北大核心
1998年第3期158-160,共3页
Chinese Journal of Neurosurgery
关键词
自发性
脑出血
儿童
病因
治疗
Spontaneous intracerebral hemorrhage Children Etiology Management
