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1993年3月至2002年12月,我院收治急性外伤性颅内血肿患儿128例,现结合其临床资料对小儿急性外伤性颅内血肿的临床特点、诊断、治疗和预后进行讨论。 临床资料:本组128例中,男83例,女45例;两岁以下6例,3～6岁57例,7～14岁65例。其中车祸伤89例、跌伤22例、坠落伤17例。着力部位:枕部61例,额、颞、顶等处33例,不详34例。伤后表现为剧烈头痛54例,频繁呕吐73例,有原发性昏迷49例,有中间清醒期32例,继发性昏迷28例,无意识障碍19例,术前神清49例。 本组硬膜外血肿67例(2岁以下2例,3～6岁29例,7～14岁36例),硬膜下血肿51例(2岁以下4例,3～6岁26例,
From March 1993 to December 2002, 128 cases of children with acute traumatic intracranial hematoma were treated in our hospital. The clinical features, diagnosis, treatment and prognosis of children with acute traumatic intracranial hematoma are discussed in combination with their clinical data. Clinical data: The group of 128 patients, 83 males and 45 females; 6 years of age under 6, 57 cases of 3 to 6 years old, 65 cases of 7 to 14 years old. Among them, 89 cases were injured in traffic accident, 22 cases fell accidentally and 17 cases fell injuries. Focus on the site: occipital 61 cases, amount, temporal, top and other 33 cases, 34 cases unknown. 54 cases of severe headache after injury, 73 cases of frequent vomiting, 49 cases of primary coma, there are 32 cases of intermediate awake, 28 cases of secondary coma, unconsciousness in 19 cases, 49 cases of preoperative clear. The group of 67 cases of epidural hematoma (2 years of age 2 cases, 3 to 6 years old in 29 cases, 7 to 14 years in 36 cases), subdural hematoma in 51 cases (2 years of age in 4 cases, 3 to 6 years old in 26 cases,