儿童外伤性硬膜外血肿的临床特点和救治  

Clinical characteristics and treatment of traumatic epidural hematoma in children

作　　者：招建华[1] 鲍洪[1] 吴开华[1] 丁轩[1] 骆太顺[1] 

机构地区：[1]广东省暨南大学附属第三医院神经外科,珠海519000

出　　处：《临床医学》2007年第2期21-22,共2页Clinical Medicine

摘　　要：目的总结儿童外伤性硬膜外血肿的临床特点和救治经验。方法回顾性分析我院自2002年4月～2006年4月儿童外伤性硬膜外血肿的临床资料75例。结果开颅手术36例，其中去骨瓣减压10例，保留骨瓣26例；钻孔引流15例；保守治疗24例。痊愈64例，中／重残10例，死亡1例。结论儿童外伤性硬膜外血肿有其临床特点，容易误诊漏诊，及早发现和治疗，效果良好，否则易造成严重后果。Objective To explore clinical characteristics and treatment of traumatic epidural hematoma in children. Methods The clinical data of seventy - five traumatic epidural hematoma patients were analyzed retrospectively. Results In this series, removal hematoma through craniotomy was performed on 36 cases,while craniotomy and decompression on 10 cases. Trepanation and drainage was performed on 15 cases. The rest were appliedno - operation management. Among them, 64 cases got the expected effect, 10 had moderate or severe neurological deficit, and 1 died. Conclusion There are distinctive clinical characteristics in children with traumatic epidural hematoma by comparing that with adult. Diagnosis and treatment earlier can bring good prognosis. Otherwise, serious outcome may occur.

关 键 词：脑损伤 血肿 硬膜外 儿童 

分 类 号：R726.5[医药卫生—儿科]