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Haslan等报告了4例小儿脑肿瘤患者应用CT增强扫描发生了严重的神经合并症,其中2例死亡,本文就此进行介绍并试述预防的方法等。死亡的2例为10岁和7岁的女孩,1例丘脑肿瘤,1例巨大颅咽管瘤。其它2例为6岁和4岁的男孩,都是神经外胚叶性肿瘤。4例均使用60%泛影葡胺2～2.4ml/kg,静脉注射。死亡的2例,检查数小时后,出现头痛、视力障碍、呕吐,继之不活泼,全身痉挛,10及12小时后分别死亡。神经症状出现时均见血压上升。未死亡的1例,CT检查数小时后表现为视力障碍、暴燥、意识障碍。应用了甘露醇和地塞米松,但
Haslan et al. Reported on 4 cases of pediatric brain tumor patients with CT-enhanced scan of serious neurological complications, including 2 deaths, this article describes and describes the prevention methods. Two patients died of 10-year-old and 7-year-old girl, 1 case of thalamic tumors, and 1 case of giant craniopharyngioma. The other 2 cases were boys 6 and 4 years old and all were neuroectodermal tumors. 4 cases were used 60% diatrizoate 2 ~ 2.4ml / kg, intravenous injection. Two cases of death, headache, visual impairment and vomiting after a few hours of examination, followed by inertia, generalized spasms, and death after 10 and 12 hours, respectively. Neurological symptoms were seen when the blood pressure rise. One patient did not die, CT showed a few hours after the visual impairment, dryness, disturbance of consciousness. Mannitol and dexamethasone were used, however