小儿颅脑损伤的特点与手术治疗  

Pediatric Craniocerebral Injury: Its Clinical Presentations AndSurgical Treatment

作　　者：潘先文[1] 江晓春[1] 李振球[1] 舒崇厚[1] 

机构地区：[1]皖南医学院附属弋矶山医院神经外科

出　　处：《皖南医学院学报》1998年第3期246-248,共3页Journal of Wannan Medical College

摘　　要：报告404例小儿颅脑损伤的特征与治疗结果。本组交通事故伤居首位(36.13％),原发脑损伤重,意识障碍明显;凹陷骨折与颅缝分离多见(27.22％);颅内血肿极少发生于对冲部位(8.33％);GCS<8分的死亡率(19.40％)较成人为低;脑疝组的死亡率(41.03％)与非脑疝组死亡率(10.53％)差异显著(P<0.01).作者认为幕上大于20ml,幕下大于10ml的颅内血肿,骨折凹陷大于0.5cm应采用手术治疗;粉碎性骨折EC胶粘合复位.Clinical presentations and outcome of 404 cases (male 294 and female 110) of pedi-atric craniocerebral injury were reported. Among them , trauma of traffic accident was in fhe first place (36. 13%). Besides, quite a few of them were depressed fracture and separation of cranial su-ture(27. 22%), while only a few were recoiling intracranial hematoma(8. 33%). The mortality rate (19. 40%) was less than that of the adult(when GCG<8). As for the mortality rate of brain-hernia-tion (41. 03%) and that of the non-brain-herniation type (10. 53%),there was a significant differ-ence(P<0. 01). the authors believed that the intracranial hematomas with supratentorium over 20ml and infratentorium over 10ml and depressed fracture with hematomas over 0. 5cm should be treated by opration, but simple fracture and comminuted fracture shoule be reposition and glued by EC-glue.

关 键 词：颅脑损伤 儿童 临床特征 外科手术 

分 类 号：R726.511.5[医药卫生—儿科]