儿童外伤性后颅窝血肿23例手术治疗效果观察
摘要
目的探讨儿童外伤性后颅窝血肿手术治疗效果。方法回顾分析2013年1月至2018年1月于我院行手术治疗的23例儿童外伤性后颅窝血肿患儿临床资料,探讨手术治疗对患儿的影响以及手术治疗效果和价值等。结果 CT复查结果发现后颅窝血肿形成20例,包括硬膜下血肿6例和硬膜外血肿14例;手术后死亡1例,死亡率为4.35%,预后GOS分级:2分2例,3分2例,4分6例,5分12例。结论外伤性后颅窝血肿病情危急,早期确诊以及制定正确的手术治疗方案对于提高患儿生存质量有着重要的意义。
引文
[1]尤朝国,张弩.儿童创伤性后颅窝硬膜外血肿手术治疗17例[J].医学研究杂志,2017,46(4):102-105.
[2]尤朝国,林中啸,盛汉松.儿童外伤性后颅窝硬膜外血肿的临床特征和治疗体会(附47例报告)[J].中华神经外科杂志,2016,32(6):596-597.
[3]吴明,余任喜,李佳.钻孔引流治疗儿童创伤性单侧后颅窝硬膜外液态血肿(30例报告)[J].创伤外科杂志,2016,18(10):610-612.
[4]王子德,于如同,祁正磊.儿童后颅窝硬膜外血肿35例临床分析[J].中华神经外科杂志,2016,32(4):358-361.
[5]Cui H,Zou J,Bao Y,et al.Surgical treatment of solid hemangioblastomas of the posterior fossa:A report of 28 cases[J].Oncology Letters,2017,13(3):1125-1130.
[6]罗家扬,邱乃锡.儿童外伤性急性硬膜外血肿的治疗体会[J].中国实用医药,2016,11(15):31-32.
[7]Singh S,Ramakrishnaiah RH,Hegde SV,et al.Compression of the posterior fossa venous sinuses by epidural hemorrhage simulating venous sinus thrombosis:CT and MR findings[J].Pediatric Radiology,2016,46(1):67-72.
[8]Chen XH,Jiang YF,Wei SH,et al.Traumatic posterior fossa hematoma of the clinical features and treatment experience[J].Chinese Journal of Practical Nervous Diseases,2006,3(9):12-13.
[9]贾作,陈巍.外伤性迟发性颅后窝硬膜外血肿40例临床分析[J].中国卫生标准管理,2016,7(6):24-25.
[2]尤朝国,林中啸,盛汉松.儿童外伤性后颅窝硬膜外血肿的临床特征和治疗体会(附47例报告)[J].中华神经外科杂志,2016,32(6):596-597.
[3]吴明,余任喜,李佳.钻孔引流治疗儿童创伤性单侧后颅窝硬膜外液态血肿(30例报告)[J].创伤外科杂志,2016,18(10):610-612.
[4]王子德,于如同,祁正磊.儿童后颅窝硬膜外血肿35例临床分析[J].中华神经外科杂志,2016,32(4):358-361.
[5]Cui H,Zou J,Bao Y,et al.Surgical treatment of solid hemangioblastomas of the posterior fossa:A report of 28 cases[J].Oncology Letters,2017,13(3):1125-1130.
[6]罗家扬,邱乃锡.儿童外伤性急性硬膜外血肿的治疗体会[J].中国实用医药,2016,11(15):31-32.
[7]Singh S,Ramakrishnaiah RH,Hegde SV,et al.Compression of the posterior fossa venous sinuses by epidural hemorrhage simulating venous sinus thrombosis:CT and MR findings[J].Pediatric Radiology,2016,46(1):67-72.
[8]Chen XH,Jiang YF,Wei SH,et al.Traumatic posterior fossa hematoma of the clinical features and treatment experience[J].Chinese Journal of Practical Nervous Diseases,2006,3(9):12-13.
[9]贾作,陈巍.外伤性迟发性颅后窝硬膜外血肿40例临床分析[J].中国卫生标准管理,2016,7(6):24-25.