外伤性后颅凹硬膜外血肿(附47例报告)  

Traumatic posterior fossa extradural hematomas

作　　者：蔡为人[1] 王士余[1] 郭俊[1] 

机构地区：[1]南通医学院附属第四医院,江苏盐城224001

出　　处：《河北医学》2001年第11期981-983,共3页Hebei Medicine

摘　　要：目的 :讨论外伤性后颅凹硬膜外血肿的治疗原则。方法 :报告 1991年 1月至 2 0 0 0年 12月收治的后颅血硬膜外血肿 4 7例。对本组病例的治疗经过进行回顾性分析。结果 :本组 4 7例 ,单纯后颅凹硬膜外血肿 2 1例 ,横窦骑跨型硬膜外血肿 2 6例。保守治疗 2 3例 ,血肿量 5 - 14ml,平均 8.5ml,治愈 2 1例 ,死亡 2例 ;手术 2 4例 ,血肿量 8- 6 0ml,平均 2 8ml,治愈 2 1例 ,此亡 3例。结论 :外伤性后颅凹硬膜外血肿由于位置特殊 ,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 therapic principle of traumatic posterior fossa extradural hematomas. Methods : A total of 47 cases with traumatic posterior fossa extradural hematomas from January 1991 to December 2000 were reported in the article. The treatment procedure were analyzed retrospectively. Results: All together 47cases were in the group, including 21 simple posterior fossa extradural hematomas and 26extradural hematoma crossing the transverse sinus.23 cases were treated by conservative treatment.The hematoma content were from 5～14 ml, the average content were 8. 5ml. 21 cases were cured and 2 cases died. There were 24 cases in the operation group. The hematoma content were from 8~60ml and the average content were 28ml. 21 cases were cured and 3 cases died. Conclusions : Due to the special position of traumatic posterior fossa extradural hematomas.Tonsillarherniation is easily formed. At the same time, the changing of the disease is very fast.Succesive treastment of traumatic posterior fossa hematoma depends on careful observation and removing the heamatomas in time.

关 键 词：外伤 后颅凹硬膜外血肿 治疗 发病率 临床表现 

分 类 号：R651.15[医药卫生—外科学]