摘要
目的 探讨小儿外伤性后颅窝血肿的临床特征、诊断和治疗。方法 回顾性分析我院 1 986年 1月～ 2 0 0 0年 1 2月收治的 36例小儿外伤性后颅窝血肿的临床资料。结果 本组硬膜外血肿 1 9例 (其中 5例血肿骑跨幕上 ) ,硬膜下血肿 1 2例 (其中 3例伴有大脑半球挫裂伤 ) ,小脑半球血肿 4例 (其中伴阻塞性脑积水 2例 ) ,第四脑室内出血 1例。枕骨骨折 2 1例。 1 0例行非手术治疗 ,8例治愈 ;2 8例行后颅窝血肿清除术 (其中有 2例为非手术治疗的中转手术 ) ,2 6例治愈 ,2例死亡 ,死亡率 5 .56 %。 结论 小儿外伤性后颅窝血肿病情紧急 ,早期诊断。
Objective To discuss the clinical features ,diagnosis and treatment of the traumatic hematomas of posterior cranial fossa in children.?Methods The clinical data of thirty six patients with traumatic hematomas of posterior cranial fossa in our hospital from Jan 1986 to Dec 2000 were reviewed.?Results Nineteen patients had epidural hematomas. Twelve patients had subdural hematomas,and three of them had cerebral contusion. Four patients had intracerebellar hematomas,among whom 2 cases had acute obstructive hydrocephalus. One patient had hamorrhage in Ⅳth ventricule.Twenty one patients had occipital skull fracture.?Ten patients were treated conservatively with 8 cases cured.Twenty eight cases were managed by emergency surgery with 26 cases recovered and 2 cases died.?Conclusion The clinical course of the traumatic hematomas of posterior cranial fossa in children is acute and severe.The early diagnosis and prompt treatment are neccessary for achieving good results.
出处
《创伤外科杂志》
2002年第2期71-73,共3页
Journal of Traumatic Surgery
关键词
脑损伤
后颅窝
血肿
儿童
brain injury
posterior cranial fossa
hematoma
children
