婴幼儿硬膜外血肿临床特点及外科处理(附34例报告)

CLINICAL FEATURES AND TREATMENT OF INFANTILE EPIDURAL HEMATOMA

目的 :探讨婴幼儿硬外膜血肿临床特点及处理。方法 :对我院 1 990年 1月到 2 0 0 0年 1 2月收治的 34例婴幼儿急性硬外膜血肿患者进行了回顾性分析。结果 :头痛、呕吐 2 9例 ,贫血 30例 ,少有典型中间清醒期。 2 2例手术治疗 ,1 2例非手术治疗。除 2例轻残 ,2例死亡外 ,余 30例随诊 1 0～ 1 2个月均恢复良好。结论 :头痛、呕吐、失血貌为其基本临床特征 ,颅脑 CT扫描对其诊治有重要意义。婴幼儿硬膜外血肿脑疝病人可不去骨瓣 ,并积极抢救 。

Objective:To investigate the clinical features and treatment of infantile epidural hematoma.Methods:From Jan 1990 to Des 2000,34 cases of infantile epidural hematoma were analyzed retrospectively.Results:29 patients had headache and vomiting and 30 anemia.22 cases were treated surgically.12 cases were treated with medical management.2 cases were mild disable and 2 dead.30 cases recovered well.Conclusion:The hallmarks of traumatic epidural hematoma are headache,vomiting,and anemia.CT scan can accurately identify the location and type of any surgical masses.Hernia patients with epidural hematoma should be treated as early as possible.Cerebral contusion patients should be reserved tissue in brain contusion.