儿童外伤性硬膜外血肿的临床分析  

Clinical analysis of traumatic epidural hematoma in children

作　　者：王星[1] 蔡洪[1] 

机构地区：[1]达州市中心医院神经外科,四川达州635000

出　　处：《四川医学》2011年第11期1728-1730,共3页Sichuan Medical Journal

摘　　要：目的探讨儿童外伤性硬膜外血肿的临床特点及治疗。方法对32例儿童外伤性硬膜外血肿的临床资料进行回顾性分析。结果按入院时情况,非手术治疗13例,其后1例转为钻孔引流,1例转为开颅治疗,均全部治愈;手术治疗19例,其中钻孔引流6例,开颅治疗13例,除1例死亡外,其余均治愈。病死率占全组的3.1%。结论儿童外伤性硬膜外血肿有其临床特点,早期诊断、及时正确治疗,预后良好。Objective To explore the clinical characteristics and treatment of traumatic epidural hematoma in children.Methods The clinical data of 32 children with traumatic epidural hematoma were analyzed retrospectively.Results According to condition of admission,13 cases were performed no-operation management,trepanation and drainage was changed on 1 cases and removal hematoma through craniotomy was changed on 1 cases,alI of them were cured;19 cases were treated by operation,trepanation and drainage was performed on 6 cases and removal hematoma through craniotomy was performed on 13 cases,1 case died and 18 cases recovered.The totaI mortality rate was 3.1%.Conclusion The clinicaI characteristics should be noticed in children with traumatic epidural hematoma,The early diagnosis and the timely and effective treatment can bring good prognosis.

关 键 词：儿童 硬膜外血肿 外伤 治疗 

分 类 号：R726.5[医药卫生—儿科]