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目的探讨小儿急性偏瘫综合征的诊断和治疗。方法对2008—2011年我院儿科病房72例急性偏瘫患儿的临床资料进行回顾性分析。结果 72例患儿中,3岁以下患儿占87.5%。诊断方面:脑电图及MRA检查阳性率均高,CT阳性率略低。经治疗72例患儿总有效率为100%。结论小儿急性偏瘫发病以幼儿为多,病因以感染多见,本病诊断方法多,但侧重点不同,脑电图及MRA可作为本病的重要检查手段,治疗上及早应用改善脑循环药物尼莫地平及曲克芦丁注射液,可有效促进肢体运动的恢复。
Objective To investigate the diagnosis and treatment of pediatric acute hemiplegia syndrome. Methods The clinical data of 72 children with acute hemiparesis in pediatric ward of our hospital from 2008 to 2011 were analyzed retrospectively. Results Of the 72 children, 87.5% of children under 3 years old. Diagnosis: EEG and MRA positive rates were high, CT positive rate slightly lower. The treatment of 72 patients with a total effective rate of 100%. Conclusions The incidence of acute hemiplegia in children is more than that of young children, and the etiology is common in infection. There are many diagnostic methods for this disease, but different emphases are different. EEG and MRA can be used as an important check-up for this disease. Mupiting and Troxerutin injection, can effectively promote the recovery of limb movement.