颅后窝血肿的治疗策略

目的探讨颅后窝血肿的治疗策略。方法回顾性分析发病6h内人院、首次头颅cT显示颅后窝血肿的患者78例，分别予早期急诊手术39例，延期手术治疗24例，完全保守治疗15例。结果早期急诊手术组死亡3例、重残4例、再手术6例，延期手术组死亡1例、重残1例、无再手术，保守治疗组死亡1例。结论急诊手术是颅后窝血肿的主要治疗措施。恰当运用保守治疗和选择合理的手术方式对提高患者生存率和生存质量有益。

The therapeutic strategy of hematoma in posterior fossa

Objective To discuss the therapeutic strategy of hematoma in the posterior fossa. Methods Seventy eight patients were hospitalized within 6 hours, and their first skull CT showed hematoma in the posterior fossa. Early emergency operations were adopted for 39 cases, postponed operations for 25 cases, and medicative therapy for 15 cases. Results In the group of early emergency operations, there were 3 death cases, 4 Severe deficits, and 6 cases who were operated again. In the group of postponed emergency operations, there were 1 death case, 1 severe deficits, and no cases who were operated again. There was 1 death in the group of medicative therapy. Conclu sion Early emergency operation is the major medical measure for traumatic hematoma in the posterior fossa. It is beneficial for improving the survival rate and quality to adopt correct medicative therapy and reasonable operation methods.