颅中窝底硬膜外血肿的早期手术治疗  

Early surgical management of epidural hematom at the base of middle cranial fossa

作　　者：邓群[1] 李德泽[2] 李巧珍[1] 

机构地区：[1]广东省肇庆市第二人民医院神经外科,526060 [2]北京天坛医院神经外科,100050

出　　处：《中国综合临床》2003年第6期527-528,共2页Clinical Medicine of China

摘　　要：目的分析 4 9例外伤性颅中窝底硬膜外血肿的临床及CT表现与手术治疗效果。方法对 4 9例外伤性颅中窝底硬膜外血肿患者的临床资料进行回顾性分析。结果 4 9例外伤性颅中窝底硬膜外血肿中 ,出现脑干周围池形态改变 31例 ,其中手术治疗 2 3例 ,治愈 17例 ,死亡 6例 ;保守治疗 8例 ,其中死亡 6例 (4例恶化后转手术 ) ,治愈 2例。未出现脑干周围池形态改变 18例 ,均保守治疗 ,结果治愈 9例 ;后因病情恶化改手术治疗 ,治愈 7例 ,死亡 2例。结论外伤性颅中窝底硬膜外血肿不同于一般的幕上硬膜外血肿 ,容易出现脑干周围池的改变 ,故应及早、积极地进行手术治疗。Objective To analyze the clinical and CT features and the operation Results of traumatic epidural hematom at the base of middle cranial fossa in 49 patients. Methods 49 traumatic epidural hematom at the base of middle cranial fossa patients were retrospectively analyzed. Results 31of 49 patients had peribrain stem cistern changes, of whom 23 was placed on operation for treatment, including 17 cured and 6 dead, and of whom 8 were treated conservatively including 6 dead(4 of them were transferred to operation after deterioration) and 2 cured. In contrast, there were no changes of peribrain stem cistern in 18 patients,treated conservatively, 9 of them were cured but were transferred to operation for treatment because of worsened condition, as a result of 7 cases cured and 2 dead. Conclusion Traumatic epidural hematom at the base of middle cranial fossa should be timely and actively treated by operation because it is different from the common supraepidural hematom and the changes of peribrain stem cistern easily occur.

关 键 词：硬膜外血肿 颅中窝 脑干周围池 早期手术 

分 类 号：R651.15[医药卫生—外科学]