婴幼儿创伤性小脑血肿诊治(附10例报告)  

Diagnosis and Treatment of Traumatic Cerebellar Hematoma in Infants and Children(Report of 10 Cases)

作　　者：林维斌 赵静[2] 徐朝阳[1] LIN Wei-bin;ZHA;XU Chao-yang(Department of Neurosurgery,the Second Affiliated Hospital,Fujian Medical University,Quanzhou,Fujian Province,362000 China;Operation Room,the Second Affiliated Hospital,Fujian Medical University,Quanzhou,Fujian Province,362000 China)

机构地区：[1]福建医科大学附属第二医院神经外科,福建泉州362000 [2]福建医科大学附属第二医院手术室,福建泉州362000

出　　处：《中外医疗》2018年第16期62-64,共3页China & Foreign Medical Treatment

摘　　要：目的分析10例婴幼儿创伤性小脑血肿(Traumatic Cerebellar Haematoma,TCH)的临床资料,提高对本病临床特点、诊断及治疗的认识。方法回顾性分析该院2007年1月—2017年12月间收治的10例婴幼儿创伤性小脑血肿的临床资料。结果该组小脑半球血肿3例,保守成功,格拉斯哥预后分级(GOS分级)Ⅴ级(良好);小脑蚓部血肿7例,其中4例合并急性脑积水,手术清除血肿及后颅窝减压3例,侧脑室外引流4例,GOS分级:Ⅴ级(良好)4例,II级(中残)1例,Ⅲ级(重残)1例,Ⅰ级(死亡)1例。结论婴幼儿创伤性血肿症状不典型,及时CT扫描是早期诊断的关键;及时诊治及选择个体化的治疗方案有助于降低病死率及致残率。Objective This paper tries to deepen understanding the clinical characteristics, diagnosis and treatment of the disease by analyzing the clinical data of 10 cases of Traumatic Cerebellar Haematoma（TCH） in infants. Methods The clinical data of 10 infant patients with traumatic cerebellar haematoma admitted to this hospital during January 2007 to December 2017 were retrospectively analyzed. Results 3 cases of cerebellar hematoma in this group, conservative success, Glasgow prognosis classification（GOS classification） V grade（good）; cerebellar hematoma in 7 cases, including 4 cases of acute hydrocephalus, surgical removal of hematoma and posterior fossa decompression 3 cases, drainage of lateral ventricle in 4 cases, GOS classification： V（good） in 4 cases, II（internal residual） in 1 case, III（heavy） 1 case, I（death） in 1 case. Conclusion The symptoms of traumatic hematoma in infants and young children are not typical, and timely CT scan is the key to early diagnosis; timely diagnosis and treatment and the choice of individualized treatment plan can help reduce the mortality and disability.

关 键 词：脑损伤 小脑血肿 婴幼儿 

分 类 号：R4[医药卫生—临床医学]