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目的总结儿童外伤性大面积脑梗死的综合治疗方法和效果。方法对我院2005年1月至2012年10月收治的24例儿童外伤性大面积脑梗死的临床资料进行回顾性分析。结果根据GOS评分进行疗效评价,其中恢复良好6例,中残11例,重残3例,死亡4例。结论大面积脑梗死是儿童颅脑外伤后的严重并发症,应及时予以手术减压、注重维持有效循环血量保障脑灌注,除常规应用甘露醇脱水外给予大剂量白蛋白、尼莫地平、神经营养药物,合理应用亚低温治疗等治疗措施,早期进行康复训练能获得较好的治疗效果。
Objective To summarize the comprehensive treatment of traumatic cerebral infarction in children and its effects. Methods The clinical data of 24 children with traumatic massive cerebral infarction admitted to our hospital from January 2005 to October 2012 were analyzed retrospectively. Results According to GOS score, 6 cases were recovered well, 11 cases were moderate disability, 3 cases were severe disability and 4 cases died. Conclusions Large area cerebral infarction is a serious complication after craniocerebral trauma in children. It should be decompressed in time and focus on maintaining effective circulating blood volume to ensure cerebral perfusion. In addition to conventional administration of mannitol dehydration, high dose albumin, nimodipine, Neurotrophic drugs, rational use of mild hypothermia treatment and other treatment measures, early rehabilitation training can get better treatment.