Alvarez-Garijo J A, Gomila D T, Perez Aytes A, Vila Mengual M, Martin A A
Childs Brain. 1981;8(1):31-8. doi: 10.1159/000119966.
7 cases of acute subdural hematomas diagnosed and surgically treated during the first week of life are presented. 5 of them are alive and well at 6 and 7 months and 3, 4 and 6 years of follow-up. Free interval, raised intracranial pressure, lateralizing signs, fall of hematocrit and presence of blood in CSF were constant. Subdural puncture was negative in 6 cases, including a hemophilic patient (hemophilia B). Clinical diagnosis was ratified by means of neuroradiological procedures. The authors conclude that craniectomy is the treatment of choice and subdural tapping a useless procedure.
本文介绍了7例在出生后第一周内被诊断并接受手术治疗的急性硬膜下血肿病例。其中5例在随访6个月、7个月以及3年、4年和6年后仍存活且状况良好。游离间隔、颅内压升高、定位体征、血细胞比容下降以及脑脊液中出现血液等情况持续存在。6例硬膜下穿刺结果为阴性，其中包括1例血友病患者（乙型血友病）。通过神经放射学检查证实了临床诊断。作者得出结论，颅骨切除术是首选治疗方法，硬膜下穿刺是无用的操作。
