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目的探讨小儿脑萎缩的病因、临床和头颅 CT特点及其疗效。方法回顾分析 36例小儿脑萎缩的临床资料。结果 36例中有围生期窒息史 2 3例 ,占 63.89% ;以抽搐为主诉 19例 ,占 5 2 .78% ;头颅 CT显示 ,局部脑萎缩 32例 ,占 88.89%。治疗有效 2 2例 ,占81.48%。结论围生期窒息是小儿脑萎缩的重要原因 ,应重视围生期脑缺氧损伤患儿在新生儿期后的继续治疗 ,使用脑细胞活化剂及高压氧舱干预疗效显著 ,对改善脑萎缩的预后有重要作用。
Objective To investigate the etiology, clinical characteristics, and CT features of pediatric brain atrophy and its therapeutic effects. Methods Retrospective analysis of 36 cases of children with brain atrophy clinical data. Results 36 cases had a history of perinatal asphyxia, 23 cases, accounting for 63.89%; 19 cases were mainly twitch, accounting for 52.78%; cranial CT showed that 32 cases of local brain atrophy, accounting for 88.89%. Treatment of effective 2 2 cases, accounting for 81.48%. Conclusions Perinatal asphyxia is an important cause of cerebral atrophy in children. It is necessary to pay more attention to the follow-up treatment of neonates after perinatal cerebral hypoxia injury. The intervention with brain cell activator and hyperbaric oxygen chamber has a significant effect on improving brain atrophy The prognosis has an important role.