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[两周间隔后发生致命性硬膜外出血]

[Fatal epidural hemorrhage after a 2-week interval].

作者信息

Bratzke H, Dirnhofer R

出版信息

Neurochirurgia (Stuttg). 1986 May;29(3):93-5. doi: 10.1055/s-2008-1053710.

Abstract

This in a report on a 15-year old school girl who sustained a skull fracture after a fall. Apart from an initial syncope and signs of commotio cerebri no severe cerebral deficiencies were apparent. She died suddenly soon after her discharge and 2 weeks after the accident. The officially confirmed cause of death (based on autopsy by order of a court) was an epidural hemorrhage. This hemorrhage originated from a reruptured traumatic pseudoaneurysma of the arteria meningea media. The morphological findings are presented. The legal problems are discussed especially in the light of recently re-introduced conservative treatment of epidural hemorrhage diagnosed by computed tomography.

摘要

这是一份关于一名15岁女学生的报告,她在摔倒后颅骨骨折。除了最初的晕厥和脑震荡迹象外,没有明显的严重脑损伤。她在出院后不久,也就是事故发生两周后突然死亡。官方确认的死因(根据法院命令进行的尸检)是硬膜外出血。这种出血源于中脑膜动脉外伤性假性动脉瘤的再次破裂。文中呈现了形态学检查结果。特别结合最近重新采用的通过计算机断层扫描诊断硬膜外出血的保守治疗方法,讨论了相关法律问题。

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