小儿外伤性迟发性脑内血肿

目的 探讨小儿外伤性迟发性脑内血肿的临床特点，诊断和治疗。方法 回顾性分析我院1987年1月-1998年12月收治的27例小儿外伤性迟发性脑内血肿。结果 27例小儿外伤性迟发性脑内血肿中，行血肿清除术13例，颅骨钻孔血肿内置管 增强尿激酶外引流术6例，非手术治疗8例，26例治愈，1例死亡，死亡率3.70%。结论 进行性意识障碍，头痛，呕吐，贫血加重和生命体征不稳定是小儿迟发性脑内血肿的基本临床特征，高度警惕本病的发生，及时再次CF扫描有利于早期诊断，掌握好手术和非手术治疗的指征，是治愈本病的关键。

Delayed traumatic intracerebral hematoma in children

Objective To explore clinical characteristics, diagnosis and treatment of delayed traumatic intracerebral hematoma (DTICH) in children. Methods Twenty-seven patients with DTICH treated in our hospital from January 1987 to December 1998 were retrospectively analyzed. Results Hematoma debridement was performed in 13 cases. A combinant method, ie, catheter placed at the hematomas plus drainage with injection of urokinase, was done in 6 cases. The other 8 cases did not receive operation. Of all, 26 patients were cured but one died with a death rate of 3.70%. Conclusions The unstable physical signs like continual decrease of consciousness, headache, vomiting and anemia are the essential clinical characteristics. Repeated CT scanning is valuable for an early diagnosis. The key to cure of DTICH in children lies in mastering the indications of surgical operation or no-operation.