小儿创伤性迟发性颅内血肿的临床分析

目的:探讨小儿创伤性迟发性颅内血肿的临床特点。方法:分析我院1990年1月～2002年12月收治的21例小儿创伤性迟发性颅内血肿。结果:21例小儿创伤性迟发性颅内血肿患者开颅手术8例,非手术治疗13例,治愈16例,重残2例,死亡3例,死亡率14％。结论:头痛呕吐,进行性意识障碍,贫血,生命体征变化是小儿创伤性迟发性颅内血肿的基本临床特征。随时的头颅CT检查有利于早期诊断,及时正确的治疗是治愈本病的关键。

Clinical Study on the Head Injuries with Delayed Intracerebral Hemorrhage in Childen

Objective:To explore clinical characteristics of delayed intracerebral hemorrhage in childem. Methods: Twenty - one patients with delayed intracerebral hemorrhage in childem treated in our hospital from January 1990 to December 2002 were analyzed. Results:Hematoma debridement was performed in 8 cases, the other 13 cases did not receive operation, Of all patients, 16 patients were cured, 2 patients were crippled, 3 patients died with a death rate of 14%. Conclusions: Headache, vomiting, continual decrease of consciousness, anemia and the unstable physical signs are the essential clinical characteristics . repeated CT scanning is valuable for an early diagnosis. The key to cure of delayed intracerebral hemorrhage in childen lies in positive and correct treatment.