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目的:探究小儿后颅窝硬膜外血肿的病因、诊断及治疗方法。方法:采用回顾性研究,对10年间收治的45例其受伤机理、诊断方法及治疗手段进行分析讨论。结果:手术治疗39例(86.7％),保守治疗6例(13.3％);治愈43例(95.6％),死亡2例(4.4％)。结论:本病常见的病因是高处坠落伤及交通事故。头颅CT扫描是快速诊断且可靠的方法。较大的血肿(>10ml)应积极手术治疗,血肿较小(<10ml)者可在严密观察下保守治疗,只要及时、准确的诊断和治疗,预后良好。
Objective: To explore the etiology, diagnosis and treatment of epidural hematoma in children’s posterior fossa. Methods: A retrospective study was carried out to analyze and discuss the mechanism of injury, diagnosis and treatment of 45 cases admitted in 10 years. Results: Surgical treatment of 39 cases (86.7%), conservative treatment in 6 cases (13.3%); cure in 43 cases (95.6%), death in 2 cases (4.4%). Conclusion: The common cause of this disease is fall injury and traffic accident. Head CT scan is a fast and reliable method. Larger hematoma (> 10ml) should be actively treated. Small hematoma (<10ml) can be treated conservatively under close observation. As long as timely and accurate diagnosis and treatment, the prognosis is good.