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婴幼儿脑水肿临床比较多见,如能早期诊断和治疗,预后大都良好。呕吐、头痛和视神经乳头水肿,是颅内压增高的三大症状;前囟膨隆紧张是脑水肿的重要体征;瞳孔改变是发生脑疝的先兆。但有时脑水肿的体征被一些假象所掩盖,容易发生漏诊、误诊以致错过抢救时机。我们临床观察新生儿和婴幼儿脑水肿11例,所见一些特殊情况和诊断脑水肿的一点体会报告如下,供儿科临床诊断参考。(1)新生儿脑水肿:颅内压增高的主要表现是前囟隆起紧张,但有些新生儿在发生脑水肿时却有前囟平坦甚至低陷的情况。我们见到一例新生儿肺炎和一例新生儿败血症并发脑
Infant cerebral edema clinical more common, if early diagnosis and treatment, the prognosis is mostly good. Vomiting, headache and papilledema, is the three symptoms of increased intracranial pressure; bulging anterior fontaine is an important sign of cerebral edema; pupil change is a precursor to the occurrence of cerebral hernia. But sometimes signs of cerebral edema were masked by some illusion, prone to missed diagnosis, misdiagnosis and missed the timing of the rescue. Our clinical observation of neonatal and infant cerebral edema in 11 cases, seen some special cases and diagnosis of cerebral edema, a little experience report as follows, for pediatric clinical diagnosis of reference. (1) Neonatal cerebral edema: The main manifestation of increased intracranial pressure is the anterior fontanel uplift, but some newborns in the occurrence of cerebral edema, there are flat or even lower anterior bland subsidence situation. We see one case of neonatal pneumonia and one case of neonatal sepsis complicated by the brain