185例小儿外伤性颅内出血的临床分析

Analysis on 185 patients with pediatric traumatic intracranial hemotomas

目的探讨小儿外伤性颅内出血的临床特点。方法将我院神经外科住院治疗的185例小儿外伤性颅内出血的临床资料进行分析和总结。硬膜外血肿为68例,硬膜下血肿37例,脑挫裂伤75例,脑内血肿3例,外伤性蛛网膜下腔出血2例。颅内出血患儿14例出现抽搐,149例有颅骨骨折,12例脑梗塞,5例脑积水,32例出现贫血。结果 47例行手术治疗,3例死亡,死亡率为1.62%。结论小儿脑出血发展迅速,应密切观察病情,及时做出诊断进行治疗,可有效地降低致残率和死亡率。

Objectives To explore the clinical characteristics of pediatric traumatic intracranial hematoma. Methods The clinical data of 185 patients with pediatric traumatic intracranial hematoma treated in our hospital were analyzed retrospectively. CT scans showed 68 patients had epidural hematoma, 37 subdural hematoma, 75 contusion and laceration of the brain, 2subarachnoid haemorrhage and 3 hematoma in brain. 14 patients had seizures,149 skull fracture,12 cerebral infarction,5 hydrocephalus and 32 anemia. Results Surgical treatment was performed during acute hospitalization in 47. 3 patients died postoperatively. Conclusion It is necessary to observe closely,diagnosis and treat effectively to reduce disability and mortality rate.