摘要
目的探讨外伤性后颅窝硬膜外血肿的诊断与治疗。方法回顾性分析34例外伤性后颅窝硬膜外山肿的临床资料。结果手术治疗30例,保守治疗4例。根据GOS评分结果:良好25例,中残4例.重残2例,死亡3例。结论CT扫描是诊断外伤性后颅窝硬膜外向肿的首选检查方法。外伤性后颅窝硬膜血肿及早确诊后,尽早手术,预后良好。
Objective To explore the diagnosis and treatment of traumatic posterior fossa extradural hematoma.Methods A retrospective analysis of 34 patients with traumatic posterior fossa extradural hematoma was performed.Results of these 34 cases, 30 cases were surgical treatments and 4 cases were conservative treatments. According to GOS,25 pattents got good recovery,4 moderately disabled, 2 sverely disabled and 3 died. Conclusion CT scan is a preferred investigative modatity to diagnose traumatic posterior fossa extradural hematoma.After early diagnosed the hematoma was evacuated as soon as possible, and the prognosis was good.
关键词
硬膜外血肿
颅脑损伤
后颅窝
诊断
治疗
Extradural hematoma
Head injury
Posterior fossa
Diagnosis
Treatment