摘要
目的 为了准确地诊断和治疗小儿外伤性硬膜外血肿。方法 总结本院１９８５ 年１ 月～１９９５ 年１２ 月收治的小儿外伤性硬膜外血肿１９６ 例。结果 发现１５８ 例患儿有轻、中度意识障碍（１５～１３ 分１０６ 例，１２～９ 分５２ 例），１８９ 例有头痛、呕吐，１７９ 例存在贫血貌，少有典型的中间清醒期，３８ 例在严重继发性脑损伤后出现神经系统损害的体征。１００ 例手术清除血肿，处理相关病灶，９６ 例非手术治疗。１９３ 例治愈，３ 例死亡。结论 意识障碍、头痛、呕吐和失血貌为其基本临床特征，头颅ＣＴ 扫描对其具有重要诊治意义，处理时应掌握好硬膜外血肿手术和非手术治疗的指征。
Objective To diagnose and manage of traumatic epidural hematomas correctly in children.Methods From Jan.1985 to Dec. 1995, 196 cases with traumatic epidural hematomas were analysed retrospectively.Results Of them,158 cases presented with mild to moderate disturbance of consciousness , 189 patients with headache and vomiting, 179 with anemia .Thirty eight cases of severe secondary brain injury associated with central neurologic dysfunction features. One hundred cases underwent surgical hematoma removal ,and 96 cases were treated with medical management.Among them, 193 cases recovered and 3 died.Conclusions The hallmark of traumatic epidural hematomas are alteration of normal consciousness,headache, vomiting and anemia. CT scan accurately identifies the location and type of any surgical masses.The indication of surgical or medical management of traumatic epidural hematomas should be appropriate applied.
出处
《中华小儿外科杂志》
CSCD
2000年第1期22-24,共3页
Chinese Journal of Pediatric Surgery
关键词
硬膜外血肿
诊断
治疗
儿童
Cerebral hemorrhage
Hematoma, epidural
Trauma and injuries
Children
