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目的:讨论外伤性后颅凹血肿的治疗原则。方法:对2005-01-2009-06收治的外伤性后颅凹血肿28例进行回顾性分析。结果:硬膜外血肿21例,硬膜下血肿3例,脑内血肿2例,硬膜外或(和)硬膜下、小脑内混合血肿2例。其中横窦骑跨型硬膜外血肿3例,迟发性血肿2例;手术25例,保守3例,死亡2例。结论:外伤性后颅凹血肿由于位置特殊,易形成枕骨大孔疝,病情变化快,严密观察、及时手术清除血肿是抢救成功的关键。
Objective: To discuss the treatment of traumatic posterior fossa hematoma. Methods: 28 cases of traumatic posterior fossa hematoma admitted from January 2005 to June 2009 were analyzed retrospectively. Results: 21 cases of epidural hematoma, 3 cases of subdural hematoma, 2 cases of intracerebral hematoma, 2 cases of epidural or (and) subdural and intracerebral mixed hematoma. Among them, 3 were lateral transverse sinuses straddle-type epidural hematomas, 2 were late-onset hematomas; 25 were operated conservatively, 3 were conservative, and 2 died. Conclusion: Traumatic posterior fossa hematoma due to the special position, easy to form foramen magnum hernia, rapid changes in condition, close observation, timely surgical removal of the hematoma is the key to the success of the rescue.