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小儿重型颅脑损伤较为常见,约占成人脑外伤的12.41%。1990～1995年,我院共收治12岁以下重型脑外伤30例,诊治体会如下。1临床资料1.1一般资料男23例,女7例;年龄1-12岁。跌伤18例,车祸7例,坠落伤3例,砍伤2例。闭合性颅脑损伤27例(90%),开放性颅脑损伤3例(10%);并发颅内血肿27例,其中硬膜外肿10例,硬膜下血肿9例,复合性血肿3例;血肿量20～80ml;脑挫裂伤5例,血肿发生在外力作用部位28例,仅有2例为枕部或颞部着力导致对冲性额颞硬膜下血肿或颅内血肿。按Glasgow昏迷分级标准,对30例脑外伤在1
Severe head injury in children is more common, accounting for 12.41% of adult brain trauma. From 1990 to 1995, our hospital received a total of 30 cases of severe traumatic brain injury under the age of 12, diagnosis and treatment as follows. 1 Clinical data 1.1 General Information 23 males and 7 females; aged 1-12 years old. 18 cases of fall injury, 7 cases of car accident, 3 cases of fall injury, and 2 cases of chop injury. Closed craniocerebral injury in 27 cases (90%), open craniocerebral injury in 3 cases (10%); complicated intracranial hematoma in 27 cases, including 10 cases of epidural, 9 cases of subdural hematoma, complex hematoma 3 Cases; hematoma volume 20 ~ 80ml; 5 cases of cerebral contusion, hematoma occurred in the role of external force in 28 cases, only 2 cases of occipital or temporal force led to frontal subdural hematoma or intracerebral hematoma. According to Glasgow coma classification criteria, 30 cases of brain injury in 1