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[儿童气脑造影的危害与并发症]

[Hazards and complications of pneumoencephalography in children].

作者信息

Goutieres F, Baraton J, Aicardi J

出版信息

Arch Fr Pediatr. 1976 Jan;33(1):23-30.

PMID:985029
Abstract

In a series of 1334 consecutive pneumoencephalographies in children 0-15 years, there were 2 deaths, 3 severe apneas and 1 pneumomediastinum. Respiratory insufficiency, due to contention of the patient with resulting impairment of the motion of thoracic muscles was an important mechanism and pneumoencephalography is contra-indicated in children with respiratory difficulties prior to the examination. In 90 consecutive patients submitted to pneymoencephalography CSF changes and fundus oculi abnormalities were studied prospectively. Aseptic meningitis of a mild degree is common following the examination, whereas significant meningeal haemorrhage is rare. Haemorrhages in the fundi were noted in 10% of the patients. The general tolerance of the examination was good.

摘要

在对1334例0至15岁儿童连续进行的气脑造影检查中,发生了2例死亡、3例严重呼吸暂停和1例纵隔气肿。由于患者挣扎导致胸肌运动受损而引起的呼吸功能不全是一个重要机制,因此在检查前,呼吸困难的儿童禁忌进行气脑造影。对连续90例接受气脑造影检查的患者进行了脑脊液变化和眼底异常的前瞻性研究。检查后轻度无菌性脑膜炎很常见,而明显的脑膜出血很少见。10%的患者眼底出现出血。该检查的总体耐受性良好。

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