摘要
本文报告53例外伤性后颅窝血肿,其中经手术治疗46例,非手术治疗7例。有9例术前呼吸骤停,经抢救成活4例。作者结合有关文献,就血肿的来源、临床表现特点、早期诊断、及呼吸骤停的抢救等问题进行了讨论。
54 cases of traumatic hematomas of theposterior fossa are reported. 20 of which areaccompanied with supratentorial contusion andlaceration of brain and some with hematoma Thedeath rate were 15%. 7 cases were cured byconservative treatment. There were no characteristicclinical manifestations. In the early stage, therewere headache comebined with vomiting only. Skinwound over occipital regin should be regarded aswarning sign. Fracture of occipital bone andseparation of lambdoidea suture were impertantdiagnostic points of the disease. CT scanning weremore helpful for respiratory arrest. puncture anddrainage of ventricles. immediately and rapidintravenous injection of mannitol and dexamethasone.If necessary. emergent operation timely removingof hematoma, for hematomas should be performedas quick as possible. Small hematomas of posterior fossa without severe clinical manifestaions may beconservatively.
出处
《中华神经外科杂志》
CSCD
北大核心
1992年第2期90-91,共2页
Chinese Journal of Neurosurgery
