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目的总结儿童外伤性硬膜外血肿的临床特点和救治经验。方法回顾性分析我院自2002年4月~2006年4月儿童外伤性硬膜外血肿的临床资料75例。结果开颅手术36例,其中去骨瓣减压10例,保留骨瓣26例;钻孔引流15例;保守治疗24例。痊愈64例,中/重残10例,死亡1例。结论儿童外伤性硬膜外血肿有其临床特点,容易误诊漏诊,及早发现和治疗,效果良好,否则易造成严重后果。
Objective To summarize the clinical characteristics and treatment experience of pediatric traumatic epidural hematoma. Methods The clinical data of 75 children with traumatic epidural hematoma in our hospital from April 2002 to April 2006 were retrospectively analyzed. Results Craniotomy was performed in 36 cases, including 10 cases of decompressive craniectomy, 26 cases of bone flap retained, 15 cases of drilling drainage and 24 cases of conservative treatment. 64 cases were cured, 10 cases were medium / heavy disability and 1 died. Conclusion Traumatic epidural hematoma in children has its clinical features, easy misdiagnosis and missed diagnosis, early detection and treatment, the effect is good, otherwise easy to cause serious consequences.