摘要
本文报告20例小儿急性外伤性颅内血肿非手术治疗结果,除1例中转手术外,余19例全部非手术治愈。作者提出了小儿颅内血肿量分型标准,即小型血肿:<10ml,中型血肿:10～30ml,大型血肿:>30ml,认为这一分型对治疗方法的选择具有指导意义,并对非手术治疗的适应症进行了讨论。
Twenty cases of acute traumatic intracranial haematoma in children were given nonsurgical treatment with the results of 19 recovery and only one failed. There is a close relationship between the volome of haematoma and method of treatment. When the volume of haematoma undre 10ml, it is considered as small-sized hematoma, 10～30ml as medium-sized one, and above 30ml, as large-sized one. Indications for the nonsurgicsal therapy are: (1) patients who are conscious, lethargic, drowsy or in a shallow coma; (2)patients with a haematoma volumc of under 30ml; (3)patients with a structural, translocation of under 1.0cm across the midline of the brain and no pressure or only slight pressure on the cisterna ambiens. Constant intracranial pressure monotoring and CT scanning are imperative to provide pationts with timely management. Surgical intervention should be conducted without delay as soon as intracranial pressure or hematoma volume continuously rises.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
1991年第1期16-17,共2页
Chinese Journal of Trauma
关键词
脑外伤
颅内血肿
非手术治疗
儿童
bram injury intracranial hematoma nonsurgical trcatment.
