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新生儿硬膜外血肿:血肿内容物与计算机断层扫描特征之间相关性的治疗后果。综述

Epidural haematoma in the newborn infants: therapeutic consequences from the correlation between haematoma content and computed tomography features. A review.

作者信息

Aoki N

机构信息

Department of Neurosurgery, Tokyo Metropolitan Fuchu Hospital, Japan.

出版信息

Acta Neurochir (Wien). 1990;106(1-2):65-7. doi: 10.1007/BF01809334.

Abstract

Eight reported cases of neonatal epidural haematoma are reviewed. Special attention is directed at the correlation between the haematoma content and computed tomography (CT) features. Seven cases had a high density haematoma on CT, of which four showed liquid, one semi-liquid, one liquid and solid, and one solid haematoma. The low density haematoma in one case was liquid. These results suggest that evacuation of the epidural haematoma via percutaneous epidural tapping is warranted as the first line of treatment irrespective of high density on CT.

摘要

本文回顾了8例新生儿硬膜外血肿的报告病例。特别关注血肿内容物与计算机断层扫描(CT)特征之间的相关性。7例CT显示为高密度血肿,其中4例为液体血肿,1例为半液体血肿,1例为液体和固体混合血肿,1例为固体血肿。1例低密度血肿为液体。这些结果表明,无论CT上显示的密度如何,经皮硬膜外穿刺引流硬膜外血肿应作为一线治疗手段。

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