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一名先天性心脏病患儿的脑出血与血管痉挛

Cerebral hemorrhage and vasospasm in a child with congenital heart disease.

作者信息

Carpenter Jessica, Keating Robert, Weinstein Steven, Vezina Gilbert, Berger John, Bell Michael J

机构信息

Division of Neurology, Children's National Medical Center, 111 Michigan Avenue, NW, Washington, DC 20010, USA.

出版信息

Neurocrit Care. 2008;8(2):276-9. doi: 10.1007/s12028-007-9005-3.

DOI:10.1007/s12028-007-9005-3
PMID:17849089
Abstract

INTRODUCTION

Intracerebral hemorrhages are relatively rare events in children and cerebral vasospasm after such hemorrhages is even more unusual. Children with structural congenital heart disease are particularly at risk for both thrombotic and embolic events but not to isolated hemorrhages.

DISCUSSION

We report a case of cerebral vasospasm in a child with structural congenital heart disease after a cerebral hemorrhage.

CONCLUSION

This case illustrates that this rare occurrence must be swiftly recognized and treated in order to maximize clinical outcome.

摘要

引言

脑出血在儿童中相对罕见,此类出血后的脑血管痉挛更为罕见。患有结构性先天性心脏病的儿童尤其易发生血栓形成和栓塞事件,但不会单独发生出血。

讨论

我们报告了一例患有结构性先天性心脏病的儿童在脑出血后发生脑血管痉挛的病例。

结论

该病例表明,必须迅速识别并治疗这种罕见情况,以实现最佳临床结果。

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Neurol Res. 2006 Oct;28(7):730-7. doi: 10.1179/016164106X152052.
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Aneurysms in children: review of 15 years experience.儿童动脉瘤:15年经验回顾
J Clin Neurosci. 2006 Feb;13(2):188-92. doi: 10.1016/j.jocn.2005.07.006. Epub 2006 Jan 30.
3
Haptoglobin and the development of cerebral artery vasospasm after subarachnoid hemorrhage.触珠蛋白与蛛网膜下腔出血后大脑动脉血管痉挛的发生
Neurology. 2006 Mar 14;66(5):634-40. doi: 10.1212/01.wnl.0000200781.62172.1d. Epub 2006 Jan 25.
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Systemic oxygen saturation and coagulation factor abnormalities before and after the fontan procedure.Fontan手术前后的全身氧饱和度及凝血因子异常情况。
Am J Cardiol. 2005 Dec 1;96(11):1571-5. doi: 10.1016/j.amjcard.2005.07.074. Epub 2005 Oct 14.
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