摘要
目的总结小儿亚急性硬脑膜下血肿的诊治经验。方法回顾性分析我科收治36例小儿亚急性硬脑膜下血肿的临床资料。结果36例患儿全部作开颅血肿清除术,术后气管切开22例,高压氧治疗24例;治愈23例,轻残7例,中残4例,重残2例。结论小儿亚急性硬脑膜下血肿原发损伤轻,继发损伤重,首诊易误诊;要及时确诊,尽早手术,术后强调综合治疗,是提高患儿生存质量的关键。
Objective To summarize the diagnosis and treatment experience of subacute subdural hematomas in children. Methods The clinical data of 36 children with subacute subdural hematomas were analyzed retrospectively. Results 36 cases had all undergone craniotomy with removal of hematomas and decompression with removal of bone flap, 22 cases were conducted tracheotomy and 24 cases hyperbaric oxygenation. The outcomes were 23 cases good recovery, 7 cases mild disability, 4 cases moderate disability and 2 cases severe disability. Coneluslon To subacute subdural hematomas in children,the primary injuries are light while the secondary injuries tend to be severe. First diagnosis is liable to bewrongly made. Early diagnosis ,timely opera- tion and comprehensive therapy are the keys to the improvement of the survival quality.
出处
《淮海医药》
2005年第6期435-436,共2页
Journal of Huaihai Medicine
关键词
血肿.硬膜下
外科手术
治疗结果
小儿
Hematoma,subdural
Surgical operation
Treatment outcome
Child
