Mukherjee Kanchan Kumar, Mohindra Sandeep, Gupta Sunil Kumar, Gupta Rahul, Khosla Virender Kumar
Depatrment of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigash, India.
Surg Neurol. 2006 Sep;66(3):305-10; discussion 310. doi: 10.1016/j.surneu.2005.12.035.
Traumatic acute SDH in pediatric patients is a life-threatening situation. There is a severe increase in ICP caused by acute SDH or diffuse brain swelling or secondary to ischemic brain damage. In certain situations, conventional measures may fail to control such a rapid increase in ICP.
The cases of 4 pediatric patients with cranial trauma with raised ICP, in whom hemicranial decompression was performed, are described. All patients had acute SDH with diffuse brain injury; in addition, 2 of them had associated massive infarcts. Three of them survived and had a favorable outcome.
In certain situations, pediatric patients with cranial trauma may be offered hemicranial decompression as a surgical option. These children may have a better long-term outcome despite massive infarcts.
小儿创伤性急性硬膜下血肿（SDH）是一种危及生命的情况。急性SDH、弥漫性脑肿胀或缺血性脑损伤继发可导致颅内压（ICP）急剧升高。在某些情况下，传统措施可能无法控制ICP的这种快速升高。
描述了4例因颅内压升高而接受半颅骨减压术的小儿颅脑创伤病例。所有患者均患有急性SDH并伴有弥漫性脑损伤；此外，其中2例伴有大面积梗死。他们中有3例存活且预后良好。
在某些情况下，小儿颅脑创伤患者可选择半颅骨减压术作为一种手术方式。尽管有大面积梗死，这些儿童可能有更好的长期预后。
