喀麦隆儿童中风的病因和临床表现。

Daniel A Kago-Tague, Fabricia N Guimeya, Joseph Kamtchum-Tatuene, Dominique Enyama, Euranie J Kouam, Hubert D Mbassi, Seraphin Nguefack
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引用次数: 0

摘要

目的:目的是确定喀麦隆儿童中风的病因因素和临床及临床外方面。设计:回顾性研究的记录。地点:在雅温得尔市的两所大学医院(雅温得尔妇产科医院和Chantal Biya基金会母婴中心)。参与者:47名中风儿童,历时7年半。干预措施:从医疗记录中收集数据。研究的变量包括临床和临床旁数据。主要结果测量:以均数±标准差、频率和百分比的形式总结关键变量。结果:患者平均年龄6.5±2.8岁。男女性别比为1.8:1。平均就诊时间为31.8小时。以偏瘫/偏瘫为主要临床表现(95.7%),伴惊厥(27.7%)、发热(46.8%)、面色苍白(27.7%)等体征。缺血性脑卒中41例(87.2%),出血性脑卒中6例(12.8%)。缺血性卒中的病因是镰状细胞病(72.3%)、败血症(4.2%)、蛋白S缺乏(2.1%)和扩张性心肌病合并二尖瓣不全(2.1%)。缺血性脑卒中3例(6.4%)未发现病因。出血性中风的病因除镰状细胞病(66.6%)外,还有特发性血小板减少性紫癜(16.7%)和B型血友病(16.7%)。缺血主要累及大脑中动脉(86.1%)。出血发作主要发生在幕上。结论:在喀麦隆城市,中风经常发生在6岁左右,主要是缺血性中风导致运动缺陷。镰状细胞病是最常见的病因。资金:未宣布。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Causes and clinical presentation of stroke in children in Cameroon.

Objective: The aim was to determine the aetiological factors and clinical and paraclinical aspects of stroke in children in Cameroon.

Design: retrospective study of the records.

Setting: At two university hospitals in the city of Yaoundé (Yaoundé Gynaeco-Obstetric and Paediatric Hospital and the Chantal Biya Foundation Mother and Child Centre).

Participants: 47 children with stroke for seven and half years.

Interventions: Data were collected from medical records. The variables studied included clinical and paraclinical data.

Main outcome measures: Key variables were summarised in the form of mean ± standard deviation, frequencies and percentages.

Results: The mean age was 6.5±2.8 years. The Male Female sex ratio was 1.8:1. The average consultation time was 31.8 hours. Hemiplegia/hemiparesis (95.7%) was the main clinical manifestation, associated with signs such as convulsions (27.7%), fever (46.8%) and pallor (27.7%). Ischaemic and haemorrhagic stroke accounted for 41 cases (87.2%) and 6 cases (12.8%), respectively. The aetiological factors for ischaemic stroke were sickle cell disease (72.3%), sepsis (4.2%), protein S deficiency (2.1%) and dilated cardiomyopathy with mitral insufficiency (2.1%). The aetiology was not found in 3 patients (6.4%) with ischaemic stroke. Apart from sickle cell disease (66.6%), the aetiological factors for haemorrhagic stroke were idiopathic thrombocytopenic purpura (16.7%) and haemophilia B (16.7%). Ischaemia mainly involved the middle cerebral artery (86.1%). Haemorrhagic attacks were mainly supratentorial.

Conclusion: In urban Cameroon, strokes frequently occur around the age of 6, with a predominance of ischaemic strokes resulting in motor deficits. Sickle cell disease is the most common cause.

Funding: None declared.

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