儿童动脉缺血性卒中的研究进展
Research Progress on Pediatric Arterial Is-chemic Stroke
DOI: 10.12677/ACM.2024.143823, PDF,   
作者: 周大新, 肖 农*：重庆医科大学附属儿童医院康复科，重庆；国家儿童健康与疾病临床医学研究中心，重庆；儿童发育疾病研究教育部重点实验室，重庆；儿科学重庆市重点实验室，重庆
关键词: 儿童动脉缺血性卒中；危险因素；临床表现；治疗；预后；Pediatric Arterial Ischemic Stroke； Risk Factors； Clinical Manifestations； Treatment； Prognosis
摘要: 儿童动脉缺血性卒中(Pediatric Arterial Ischemic Stroke, PAIS)是一种在儿科神经疾病中相对罕见但重要的疾病，导致包括偏瘫、智力障碍和癫痫在内的长期神经系统后遗症。儿童AIS病因及危险因素不同于成人，目前临床工作者对儿童缺血性卒中的认识不足，住院期间诊断、影像方面的延误，以及许多“假性卒中”疾病，导致儿童动脉缺血性卒中诊断率并不高。与成人相比，儿童溶栓和机械取栓经验有限。因此提高医疗工作者对儿童AIS的认识，优化诊断和治疗流程，以及加强多学科合作是当前儿童AIS研究和临床实践的重要方向。
Abstract: Pediatric Arterial Ischemic Stroke (PAIS) is a relatively rare but important disease in pediatric neurological disorders, leading to long-term neurological sequelae including hemiplegia, intel-lectual disability, and epilepsy. The etiology and risk factors of AIS in children are different from those in adults. Currently, clinical workers’ insufficient understanding of ischemic stroke in children, delayed diagnosis and imaging during hospitalization, and many “stroke mimics” diseases, result in a low diagnostic rate of arterial ischemic stroke in children. Compared to adults, the experience of thrombolysis and mechanical thrombectomy in children is limited. Therefore, improving the understanding of PAIS among healthcare workers, optimizing the di-agnosis and treatment process, and strengthening interdisciplinary cooperation are important directions for current research and clinical practice of PAIS.
文章引用：周大新, 肖农. 儿童动脉缺血性卒中的研究进展 [J]. 临床医学进展, 2024, 14(3): 1154-1162. https://doi.org/10.12677/ACM.2024.143823

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