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近8年婴幼儿及儿童硬膜外血肿的诊断与治疗

Diagnosis and treatment of epidural haematomas in infancy and childhood in the recent 8 years.

作者信息

Pásztor A

出版信息

Acta Chir Hung. 1987;28(2):57-65.

PMID:3618054
Abstract

Age-dependent characteristics of the clinical course of traumatic epidural haematomas of the infant and child have been summarized in a survey of 34 cases. Establishing the diagnosis of epidural haematoma is not an immediate indication for surgery in the infant, because there are cases of spontaneous drainage of the haematoma from the intracranial spaces (3 cases), when after 2-3 days of observation surgery can be carried out in an improved peadiatric condition (8 cases) and, as in the presented survey, there were only 9 cases when an immediate surgery had to be done. For the children over the age of 2 years the indication for an immediate surgery was not different in nature from that for the adults.

摘要

通过对34例患儿创伤性硬膜外血肿临床病程的年龄依赖性特征进行了总结。对于婴儿,硬膜外血肿的诊断并非立即进行手术的指征,因为存在血肿从颅内间隙自发引流的情况(3例),在观察2至3天后,患儿病情改善时可进行手术(8例),而且在所呈现的调查中,仅有9例需要立即进行手术。对于2岁以上的儿童,立即进行手术的指征本质上与成人并无不同。

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