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我院自1994年10月—1998年4月治疗婴幼儿外伤性腔隙性脑梗塞14例,效果满意,报道如下。 1 临床资料 1.1 一般资料 本组男9例,女5例,年龄11～17个月。致伤原因为行走跌伤和坠床所致。7例枕部着地,4例颞部着地,3例额部着地。 1.2 临床表现 3例有短暂意识障碍,嗜睡,14例婴儿4～46 h内出现不同程度偏瘫或单瘫、面瘫。2例出现四肢抽搐。 1.3 诊断标准 14例患者均有头部受伤史,临床表现的偏瘫、单瘫和面瘫。其中6例在伤后2～3 d首次头颅CT检查发现一侧基底节区腔隙性梗塞灶。8例伤后2～12 h首次头颅CT检查未发现阳性病灶。3 d后复查时头颅CT显示一侧基底节区腔隙性梗塞。
Our hospital from October 1994 to April 1998 treatment of infantile traumatic lacunar infarction in 14 cases, the results are satisfactory, are reported below. 1 Clinical data 1.1 General Information The group of 9 males and 5 females, aged 11 to 17 months. The cause of injury is due to walking injury and falling bed. 7 cases of occipital land, 4 cases of temporal land, 3 cases forehead. 1.2 Clinical manifestations of 3 cases of transient disturbance of consciousness, drowsiness, 14 cases of infants within 4 ~ 46 h were hemiplegia or single paralysis, facial paralysis. 2 cases of limbs convulsions. 1.3 diagnostic criteria 14 patients had head injury history, clinical manifestations of hemiplegia, single paralysis and facial paralysis. 6 of them showed the lacunar infarction in the basal ganglia on the first cranial CT examination 2 ~ 3 days after the injury. 8 cases of injury 2 ~ 12 h after the first time craniocerebral CT examination found no positive lesions. 3 d after the review of skull CT showed side of the basal ganglia lacunar infarction.