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目的:探讨婴幼儿外伤性腔隙性脑梗塞的临床特征、影像学诊断价值及预后。方法:对21例婴幼儿外伤性腔隙性脑梗塞患儿的临床特征和辅助检查结果进行分析,并对治疗后的15例患儿进行随访。结果:本组头部MRI检查19例患儿均有异常改变,CT检查13例异常,均保守治疗。结论:烦躁、偏瘫或肢体无力、面瘫、癫痫是婴幼儿外伤性腔隙性脑梗塞的突出症状;头部MRI或CT的异常征象是早期诊断的重要依据;早期诊断、及时治疗是改善本病预后的有效方法。
Objective: To investigate the clinical features, imaging diagnostic value and prognosis of infantile traumatic lacunar infarction. Methods: The clinical features and auxiliary examinations of 21 infants with traumatic lacunar infarction were analyzed and 15 cases were followed up. Results: The head MRI examination of 19 cases of abnormal changes in all children, 13 cases of CT abnormalities were conservative treatment. Conclusion: Irritability, hemiplegia or limb weakness, facial paralysis and epilepsy are the prominent symptoms of traumatic lacunar infarction in infants and young children. The abnormal signs of head MRI or CT are the important basis for early diagnosis. Early diagnosis and prompt treatment are the best ways to improve the disease Effective method of prognosis.