Clinical analysis of 49 cases of stroke in children
10.3760/cma.j.cn115455-20211014-01221
- VernacularTitle:儿童脑卒中49例临床分析
- Author:
Xiaochen DU
1
;
Libing ZHOU
;
Hangzhou WANG
;
Xuqin CHEN
;
Hongmei CHEN
;
Zhenjiang BAI
;
Ying LI
;
Jun HUA
Author Information
1. 苏州大学附属儿童医院急重症医学科，苏州 215000
- Keywords:
Children;
Arterial ischemic stroke;
Hemorrhagic stroke
- From:
Chinese Journal of Postgraduates of Medicine
2022;45(12):1062-1065
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical charecteristics, imaging features, therapy and prognosis of stroke in children, and provide help for clinical treatment.Methods:The clinical data of 49 children with stroke were collectedand retrospectively analyzed in the Children′s Hospital of Soochow University from January 1, 2019 to December 31, 2019.Results:A mong the 49 children with stroke, 35 were male and 14 were female, aged 1-178 (65.69 ± 55.22) months; the specific etiologies were cerebrovascular malformation, craniocerebral trauma, tumor, vitamin K deficiencies, infectious diseases, rheumatic immune diseases, hemophilia and congenital heart disease. The first symptoms of stroke were disturbance of consciousness, hemiplegia, convulsions, vomiting and headache. The arterial ischemic stroke (18 cases) were mainly caused by craniocerebral trauma and cerebrovascular malformation. The hemorrhagic stroke (31 cases) were mainly caused by arteriovenous malformation, vitamin K deficiency and tumor. The surgical rate in the arterial stroke group was significantly lower than that in the hemorrhagic stroke group.Conclusions:Traumatic cerebral infarction and intracranial arteriovenous malformation are the main causes of arterial ischemic stroke and hemorrhagic stroke in children. Early diagnosis and treatment can significantly improve prognosis.
