论文部分内容阅读
目的 探讨儿童外伤性幕上颅内血肿的临床特征和手术治疗经验。方法 回顾性分析近 6年经手术治疗 5 7例的资料。硬膜外血肿 42例 (74% ) ,硬膜下血肿 2 3例 (4 0 % ) ,颅骨骨折 2 5例 (4 4 % ) ,脑挫伤 18例 (3 2 % ) ,脑肿胀7例 (12 % ) ,昏迷 2 9例 (5 1% ) ,小脑幕裂孔疝 2 1例 (3 7% )。GCS 3～ 8分 2 4例 ;9～ 12分 11例 ;13～ 15分 2 2例。入院均行头颅CT检查。结果 恢复良好 46例 (81% ) ,中度残废 2例 ,死亡 9例。结论 及早诊断、手术是抢救成功的关键 ,颅内合并伤的严重程度影响其预后。
Objective To investigate the clinical characteristics and surgical treatment of traumatic supratentorial hematoma in children. Methods The data of 57 cases surgically treated in recent 6 years were retrospectively analyzed. 42 cases of epidural hematoma (74%), 23 cases of subdural hematoma (40%), 25 cases of skull fracture (44%), 18 cases of brain contusion (32%) and 7 cases of brain swelling 12%), coma 29 cases (51%), cerebellar hiatal hernia 21 cases (37%). GCS 3 to 8 points in 24 cases; 9 to 12 points in 11 cases; 13 to 15 points in 22 cases. All patients underwent head CT examination. The results recovered well 46 cases (81%), 2 cases of moderate disability, 9 cases of death. Conclusion Early diagnosis and surgery are the keys to successful treatment. The severity of intracranial combined injury affects its prognosis.