Pedachenko G A, Sych E G
Zh Vopr Neirokhir Im N N Burdenko. 1980 Jul-Aug(4):29-33.
The authors made a comparative analysis of the clinical course and surgical tactics in traumatic epidural hematomas in children, in young and middle-aged patients, and in patients over 60. Increase in the incidence and severity of concomitant intracranial injuries was noted with an increase in the age of the injured. It was established that general cerebral and secondary-stem syndromes predominate in the clinical picture in children, whereas in elderly and old patients focal disorders are most clearly pronounced and the affection of the stem is of a primary character as a rule. In operations on older patients the cranial cavity must be examined especially thoroughly. Removal of the contusion foci and the use of the inflow-outflow system improves the results of the treatment considerably.
作者对儿童、中青年患者及60岁以上患者外伤性硬膜外血肿的临床病程和手术策略进行了对比分析。结果发现，随着伤者年龄的增加，颅内伴随损伤的发生率和严重程度也随之增加。已确定儿童临床症状以全脑和继发性脑干综合征为主，而老年患者局灶性病变最为明显，且脑干损伤通常具有原发性特征。在老年患者的手术中，必须特别彻底地检查颅腔。清除挫伤灶并使用流入-流出系统可显著提高治疗效果。
