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目的探讨外伤性后颅窝血肿的诊治和预后。方法对46例外伤性后颅窝血肿患者进行回顾性分析,根据外伤性后颅窝血肿的病情变化及出血量的多少而采取保守治疗或手术治疗。结果 46例患者中,保守治疗12例,恢复良好9例,死亡1例;手术治疗34例,恢复良好28例,伤残3例,死亡3例。结论后颅窝血肿的临床征象不明显,容易漏诊,对枕部有损伤,特别有枕骨骨折或小脑挫裂伤者,应早期严密观察及动态CT检查,抓住手术时机,以防遗漏迟发性血肿,可提高患者的预后,并降低死亡率。
Objective To investigate the diagnosis and treatment of traumatic posterior fossa hematoma. Methods 46 cases of traumatic posterior fossa hematoma patients were retrospectively analyzed, according to the traumatic posterior fossa hematoma changes in the condition and the amount of bleeding to take conservative treatment or surgical treatment. Results Of 46 patients, conservative treatment in 12 cases, 9 cases of good recovery, 1 case of death; surgical treatment of 34 cases, 28 cases of recovery, disability in 3 cases, 3 cases of death. Conclusion Posterior fossa hematoma is not obvious clinical signs, easy to missed diagnosis, occipital injury, especially in patients with occipital fracture or cerebellar laceration, should be closely observed early and dynamic CT examination, to seize the timing of surgery to prevent missed late Hematoma, can improve the patient’s prognosis, and reduce mortality.