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小儿外伤性单纯硬膜外血肿的诊断与治疗
引用本文:李映良,夏佐中,梁平,翟瑄. 小儿外伤性单纯硬膜外血肿的诊断与治疗[J]. 现代医药卫生, 2004, 20(3): 151-152
作者姓名:李映良  夏佐中  梁平  翟瑄
作者单位:重庆医科大学儿童医院,重庆,400014
摘    要:目的 :探讨小儿外伤性单纯硬膜外血肿的诊断及治疗。方法 :回顾性分析我院1985年1月~2003年1月收治321例小儿外伤性单纯硬膜外血肿的临床资料。结果 :手术治疗176例 (其中9例为非手术治疗的中转手术 ) ,非手术治疗145例。316例临床痊愈 ,死亡5例 ,死亡率为1 56 %。结论 :小儿外伤性单纯硬膜外血肿确诊主要依靠临床基本特征及影像学资料 ,处理时应掌握其手术和非手术治疗的指征

关 键 词:脑损伤  硬膜外血肿  诊断  治疗  儿童
文章编号:1009-5519(2004)03-0151-01
修稿时间:2003-07-14

Diagnosis and treatment of 321 cases with isolated extradural hematoma in chldren
LI Ying-liang,XIA Zuo-zhong,LIANG Ping,et al.. Diagnosis and treatment of 321 cases with isolated extradural hematoma in chldren[J]. JOURNAL OF MODERN MEDICINE & HEALTH, 2004, 20(3): 151-152
Authors:LI Ying-liang  XIA Zuo-zhong  LIANG Ping  et al.
Abstract:Objective:To explore diagnosis and treatment of isolated extradural hematoma in Children(IEDH).Methods:From Jan.1985 to Jan.2003,the clinical data of three hundreds and twenty-one pediatric patients with isolated extradural hematoma were analyzed retrospectively.Results:Of them,176 cases underwent surgical hematoma removal,and 145 cases performed no-operation management.Among them,316 cases recovered,5 cases died and the mortality rate was 1.56%.Conclusion:The IEDH in children were diagnosed mainly by images of CT and the clinical features of IEDH.The indication of surgical or medical management of IEDH should be appropriate applied.
Keywords:Brain injury  Extradural hematoma  Diagnosis  Treatment  Children
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