摘要
目的:探讨儿童急性液性硬膜外血肿的临床特征、诊断、可能机制及治疗。方法:回顾性分析我院同期收治的34例儿童急硬膜外血肿的临床资料。其中,A组18例,为普通急性硬膜外血肿病例,B组16例,为急性液性硬膜外血肿病例;分别比较血肿部位、CT值、凝血功能、治疗方式等。结果:B组CT值明显低于A组,A组7例保守治疗,11例行常规骨瓣开颅手术,无死亡病例。B组单纯性硬膜外血肿11例,合并脑挫裂伤5例,5例行非手术治疗,全部治愈;10例行颅骨钻孔引流术,均证实有颅骨骨折,全部治愈,无死亡病例。结论:儿童急性液性硬膜外血肿有别于普通急性硬膜外血肿,手术行颅骨钻孔引流是一种简便的方法。
Objective:To investigate the clinical characteristics,diagnosis and treatment of acute epidural hematoma in children.Methods:The clinical data of 34 cases of acute epidural hematoma in our hospital from January 2015 to December 2019 were retrospectively analyzed.Among them,18 cases in group A were common acute epidural hematomas,and 16 cases in group B were acute liquid epidural hematomas.The location of the hematoma,CT value,coagulation function,and treatment methods were compared.Results:The CT value of group B was significantly lower than that of group A.In group A,7 cases were treated Non-surgical,11 cases underwent conventional bone flap craniotomy.While,In group B,11 cases of simple epidural hematoma,5 cases of brain contusion and laceration,5 cases of non-surgical treatment,10 cases of skull drilling and drainage,all confirmed skull fractures.Conclusion:Acute liquid epidural hematoma in children is different from common acute epidural hematoma,and skull drilling drainage is simple and reliable treatment to Simple liquid epidural hematoma.
作者
伍伟俊
王楠斐
李伯和
袁宜荣
WU Wei-jun;WANG Nan-fei;LI Bo-he;YUAN Yi-rong(The Neurosurgery Department of People's Hospital of Yichun City,Yichun 336000,China)
出处
《宜春学院学报》
2021年第9期52-55,共4页
Journal of Yichun University
基金
江西省卫健委立项课题(项目编号:20187330)。
