儿童急性硬脑膜下血肿早期快速自然消散九例临床分析  

Clinic analysis of rapid spontaneous resolution of acute subdural hematoma in children： a retrospective study of nine cases

作　　者：张磊[1] 吴红记[1] 佟建洲[1] 武利伟 李树文[1] 封立彬 

机构地区：[1]保定市第一中心医院西院神经外二科,071000 [2]承德医学院研究生院

出　　处：《中国医师进修杂志》2017年第7期642-644,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的 探讨儿童急性硬脑膜下血肿早期快速自然消散发生的机制及临床特征。方法 对9例儿童急性硬脑膜下血肿早期快速自然消散患儿的临床资料进行回顾性分析。结果 3例患儿8 h内血肿完全消散；6例患儿8 h内血肿明显减少，并于48~72 h完全消散。结论 急性硬脑膜下血肿早期快速自然消散的儿童在临床中罕见，血肿的重新分布及稀释、扩散，同时儿童的解剖学特点，也可促进血肿自然消散。通过保守治疗，可获得良好的预后。Objective To investigate the mechanism and clinical characteristics of rapid spontaneous resolution of acute subdural hematoma in children.Methods The clinical data of 9 children with rapid spontaneous resolution of acute subdural hematoma were retrospective analyzed.Results Subdural hematoma of three cases were completely dissolved within 8 h, while those of the other 6 cases were significantly reduced which were completely dissolved in 48-72 h.Conclusions Rapid spontaneous resolution of acute subdural hematoma in children is rare in clinical practice. The redistribution and dilution of hematoma and the anatomical characteristics of the children patient determine the possibility of hematoma dissipation. The conservative treatment can get a good prognosis.

关 键 词：血肿 硬膜下 儿童 回顾性研究 自然消散 

分 类 号：R726.5[医药卫生—儿科]