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创伤性脑梗塞临床上比较少见,我科于1991年至1995年共收治经CT或MRI确诊的小儿外伤后基底节区腔隙性梗塞14例,现结合文献,分析总结如下。 1 临床资料 1.1 一般资料:男10例,女4例。年龄1～12岁,平均5.6岁。受伤机制中减速性损伤10例,加速性损伤4例。 1.2 临床表现:伤后12例有一过性意识障碍,最长6小时,最短5分钟。入院时按Glasgow计分:GCS≤8分2例,9～12分3例,13～15分9例。伤后24小时内均有不同程度的一侧肢体偏瘫,其中肌力0级2例,Ⅰ～Ⅱ级4例,Ⅲ～Ⅳ级8例。另外表
Traumatic cerebral infarction is relatively rare clinical, our department in 1991 to 1995 were treated by CT or MRI diagnosis of pediatric trauma in children with basal ganglia lacunar infarction in 14 cases, are combined with the literature, the analysis is summarized as follows. 1 clinical data 1.1 General Information: 10 males and 4 females. Ages 1 to 12 years old, average 5.6 years old. Injury mechanism of deceleration injury in 10 cases, 4 cases of accelerated injury. 1.2 Clinical manifestations: 12 cases of post-traumatic transient disturbance of consciousness, up to 6 hours, the shortest 5 minutes. On admission, according to Glasgow score: GCS≤8 points in 2 cases, 9 to 12 points in 3 cases, 13 to 15 points in 9 cases. Within 24 hours after injury, there were varying degrees of hemiplegia on one side, including 0 in grade 2, 4 in grade Ⅰ ~ Ⅱ, and 8 in Ⅲ ~ Ⅳ. Another table