论文部分内容阅读
目的分析2年来连云港市东方医院收治的3例新生儿脑梗死患儿的临床资料及预后,并复习相关文献,总结相关经验。方法选择3例新生儿脑梗死确诊病例,分析其临床特征及影像学表现,进行围生期因素和其他可能病因分析,并对存活患儿进行随访。结果 3例新生儿脑梗死中,1例出现惊厥,1例临床以青紫表现,1例无明显神经系统症状。颅脑MRI均提示动脉支的梗死。1例家长放弃治疗,2例好转出院,随访12个月未发现异常。结论新生儿脑梗死原因复杂,常见临床表现为惊厥,头颅MRI是主要确诊方法,早期诊断及治疗对预后至关重要。
Objective To analyze the clinical data and prognosis of 3 neonates with cerebral infarction admitted to Dongfang Hospital of Lianyungang in the past two years and to review the relevant literature and summarize relevant experience. Methods Three cases of newly diagnosed cerebral infarction were selected. The clinical features and imaging findings were analyzed. Perinatal factors and other possible etiological factors were analyzed. Survival children were followed up. Results In 3 cases of neonatal cerebral infarction, 1 case had convulsions, 1 case showed bruising and 1 case had no obvious neurological symptoms. Brain MRI showed arterial branch infarction. One patient gave up treatment and two patients were discharged. All patients were followed up for 12 months without any abnormality. Conclusions The causes of neonatal cerebral infarction are complex and the common clinical manifestations are convulsions. The cranial MRI is the main method of diagnosis. Early diagnosis and treatment are very important to the prognosis.