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目的探讨儿童外伤性基底节区脑梗死的临床特点、诊治要点。方法回顾性总结29例儿童外伤性基底节区脑梗死的诊治经验。结果儿童轻微外伤后易发生基底节区脑梗死,伤情较轻,无持续性意识改变及颅内高压症状,CT和MRI可以明确诊断。治疗方法为解痉、小剂量脱水、早期高压氧和腰体功能锻炼。结论对于轻微脑外伤患儿要注意随后出现的基底节区脑梗死,及早治疗预后较好。
Objective To investigate the clinical features, diagnosis and treatment of cerebral infarction in children with traumatic basal ganglia. Methods The diagnosis and treatment of cerebral infarction in 29 cases of children with traumatic basal ganglia were retrospectively reviewed. Results Children with mild traumatic brain injury prone to basal ganglia, less serious injury, no change in consciousness and symptoms of intracranial hypertension, CT and MRI can confirm the diagnosis. Treatment for antispasmodic, low-dose dehydration, early hyperbaric oxygen and functional body exercises. Conclusion For children with mild traumatic brain injury should pay attention to the subsequent occurrence of basal ganglia infarction, the prognosis of early treatment is better.