后颅窝骑跨横窦型硬膜外血肿临床治疗分析  

Analysis of clinical treatment for posterior cranial fossa straddling transverse sinus epidural hematoma

作　　者：陈小鑫[1] 邓志鸿[1] 钱水清[1] 吴仰宗 温铖彩[1] 

机构地区：[1]福建省龙岩市第二医院神经外科,364000

出　　处：《中国实用医药》2015年第14期32-33,共2页China Practical Medicine

摘　　要：目的分析后颅窝骑跨横窦型硬膜外血肿的临床特征,探究临床诊治方案。方法 63例后颅窝骑跨横窦型硬膜外血肿患者,根据其入院时检查的脑部血肿资料,将其分为对照组35例,观察组28例,对照组入院时脑部血肿较大,观察组入院时的脑部血肿较小,两组患者都根据自身情况,选择适合自己的治疗方案,治疗结束后记录两组的治疗情况并进行统计分析。结果观察组治愈率(96.43%)明显高于对照组(74.29%),差异具有统计学意义(P<0.05)。结论后颅窝骑跨横窦型硬膜外血肿危害性大,致死率高,早期发现,血肿情况较小,进行诊治后往往能取得较好的结果。Objective To analyze the clinical characteristics of posterior cranial fossa straddling transverse sinus epidural hematoma, and to investigate its clinical treatment measures.Methods A total of 63 posterior cranial fossa straddling transverse sinus epidural hematoma patients were divided by their brain hematoma data into control group with 35 cases and observation group with 28 cases. The control group had large brain hematoma in admission, and that in the observation group was small. Treatment methods were chosen according to patients’ condition. Records of treatment for the two groups were made and statistically analyzed. Results The observation group had much higher cure rate （96.43%） than the control group （74.29%）, and the difference had statistical significance （P〈0.05）.Conclusion posterior cranial fossa straddling transverse sinus epidural hematoma has huge perniciousness with high mortality rate. Early detection with small hematoma under treatment may lead to good outcome.

关 键 词：后颅窝 骑跨横窦型 硬膜外血肿 临床治疗 

分 类 号：R651.1[医药卫生—外科学]