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1991年11月至1993年5月我科收治了19例头部外伤后延迟发生脑损害的患儿,占同期脑外伤的的6.8％,现报告如下。 临床资料 男11例,女8例;年龄1 6/12～7岁。走路跌伤11例,自行车摔伤、坠床各3例,撞伤2例。19例伤后均无原发性昏迷,伤后14～120小时出现脑症状,入院时昏迷6例,嗜睡6例,清醒7例;格拉斯哥记分5～8分6例,>9分13例。有头痛、呕吐12例,抽搐4例,一侧肢瘫12例,失语4例,中枢面瘫6例,BabinsM氏征(+)8例。3例做腰穿查脑脊液常规、生化均正常;对近期的3例做血液流变学测定显示全血低切粘度、血纤维蛋白元增高,治愈后转正常。CT在出现脑症状2～4小时扫
From November 1991 to May 1993, 19 children with delayed brain injury after head trauma were admitted to our department, accounting for 6.8% of the same period. These are as follows. Clinical data of 11 males and 8 females; aged 16/12 to 7 years old. 11 cases of walking injuries, bicycle falls, 3 cases of fall, 2 cases of bruising. There were no primary coma in 19 cases and 14 ~ 120 hours after injury. There were 6 cases of coma on admission, 6 cases of drowsiness and 7 cases of soberness. Glasgow scored 5-8 in 6 cases and 13 cases in 9 cases. Have headache, vomiting in 12 cases, 4 cases of convulsions, side limbs paralysis in 12 cases, aphasia in 4 cases, 6 cases of central paralysis, BabinsM’s sign (+) 8 cases. 3 cases of lumbar puncture check cerebrospinal fluid routine, biochemical are normal; to the recent 3 cases of hemorheological measurements showed low blood viscosity, fibrin yuan increased, turned normal after treatment. CT brain symptoms in 2 to 4 hours to sweep