儿童硬膜外血肿手术治疗经验体会

Experience of Operation on Children with Epidural Hematoma

目的总结儿童硬膜外血肿手术治疗经验体会。方法回顾性分析2009年1月—2013年5月我院手术治疗的29例硬膜外血肿患儿的临床资料,统计患儿的一般特征、影像学表现及临床结果。结果所有患儿无重要脏器损伤。CT或MRI检查提示脑挫裂伤5例,弥漫性轴索损伤1例。行手术治疗的28例患儿,26例(92.8%)治疗效果优,2例(7.2%)良。1例患儿于入院过程中死亡。结论对于硬膜外血肿患儿,有手术指征时应毫不犹豫地行手术治疗,其预后均较好。

Objective To analyze the experience of operation on children with epidural hematoma. Methods 29 children with epidural hematoma admitted to our hospital from January 2009 to May 2013 were selected. The general characteris- tics, imagings and treatment outcome were retrospectively analyzed. Results All children had no major organ damage. 5 cases had brain contusion and laceration, and 1 had diffuse axonal injury by CT or MRI examination. In the 28 cases who had opera- tion, 26 （92. 8% ） got excellent treatment outcome, 2 （7.2%） got good. One case died at admission. Conclusion For chil- dren with epidural hematoma, we should not hesitate to operate when operation indications were checked out, by which can lead to better prognosis.