小儿急性外伤性硬膜下血肿临床上较为少见,我院自1995年1月以来,收住小儿急性外伤性硬膜下血肿123例,其中小儿急性外伤性硬膜下血肿快速(72h)自然消散12例,占同期123例的9.76%,现结合文献报道如下。1临床资料本组12例,男8例,女4例,年龄5个月-14岁,平均年龄9岁。受伤类型,车祸伤3例,摔伤5例,坠落伤3例,打击伤1例。入院时GCS:≤8分3例,9-13分9例。本组病人均在伤后3h以内行头颅CT检查:结果发现均有硬膜下血肿,血肿量为15～35ml;其中15-25ml5例,25～35ml7例。血肿位于额颞或颞顶区域,伴有脑挫伤者8例,1例伴有癫癎发作,4例伴有颅骨骨折,12例均有中线结构移位≤10cm。2治疗与观察本组患者均收住神经外科重症监护病房(NICU),采取 Acute traumatic subdural hematoma in children is relatively rare in our hospital since January 1995, admitted to children with acute traumatic subdural hematoma in 123 cases, of which children with acute traumatic subdural hematoma rapid (72h) naturally dissipated 12 cases, accounting for 9.76% of the 123 cases of the same period, are now reported in the literature as follows. 1 Clinical data The group of 12 patients, 8 males and 4 females, aged 5 months -14 years old, mean age 9 years old. Injury type, car accident injury in 3 cases, fall case in 5 cases, fall injury in 3 cases, hit injury in 1 case. Admission GCS: ≤ 8 points in 3 cases, 9-13 points in 9 cases. This group of patients within 3h after injury head CT examination: the results were found subdural hematoma, hematoma volume 15 ~ 35ml; of which 15-25ml5 cases, 25 ~ 35ml7 cases. Hematoma in the frontotemporal or temporomandibular area, with cerebral contusion in 8 cases, 1 case with epileptic seizures, 4 cases with skull fracture, 12 cases had a median shift ≤ 10cm. 2 treatment and observation The patients were admitted to neurosurgical intensive care unit (NICU), to take