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首頁> 外文期刊>Child's nervous system: ChNS : official journal of the International Society for Pediatric Neurosurgery >Mild hypothermia for hemispheric cerebral infarction after evacuation of an acute subdural hematoma in an infant.
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Mild hypothermia for hemispheric cerebral infarction after evacuation of an acute subdural hematoma in an infant.

機譯:嬰幼兒急性硬腦膜下血腫清除后半球腦梗死的輕度體溫過低。

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The use of mild hypothermia to treat hemispheric infarction after evacuation of an acute subdural hematoma in an infant is reported. The patient, a 2-year-old boy, presented with a deteriorating level of consciousness after a fall from a tree. Computed tomography (CT) scan revealed an acute subdural hematoma on the right side with marked midline shift, and emergency evacuation of the hematoma was performed. The postoperative course was uneventful until the patient's intracranial pressure (ICP) rose and his condition deteriorated 3 days after surgery. CT scan revealed a hemispheric infarction on the injured side. Mild hypothermia was induced to control the ICP and protect the brain. While the hypothermia was effective in lowering the elevated ICP, it failed to arrest progression of the infarction. The patient was discharged with mild disability 2 months after the injury. No serious complications occurred during or after the hypothermia. Our experience indicates that hypothermia can be a useful procedurefor controlling the ICP in children with severe traumatic brain injury including acute subdural hematoma, although its capability to protect the brain from severe, progressive ischemia appears to be limited.
機譯:據(jù)報道,在嬰兒急性硬腦膜下血腫清除后使用輕度低溫治療半球性梗塞。該患者是一個2歲男孩,從樹上掉下后,意識水平下降。計算機斷層掃描(CT)掃描顯示右側(cè)有急性硬膜下血腫,中線明顯移位,并緊急疏散了血腫。術后3天,患者的顱內(nèi)壓(ICP)升高并且病情惡化,直至病程進展順利。 CT掃描顯示受傷側(cè)有半球梗塞。引起輕度的體溫過低,以控制ICP并保護大腦。雖然低溫可以有效降低ICP升高,但不能阻止梗塞的進展。受傷后2個月,患者因輕度殘疾出院。在低溫治療期間或之后,沒有發(fā)生嚴重的并發(fā)癥。我們的經(jīng)驗表明,體溫過低可能是控制包括急性硬腦膜下血腫在內(nèi)的嚴重顱腦損傷兒童的ICP的有用程序,盡管它保護大腦免受嚴重,進行性缺血的能力似乎有限。

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