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儿童硬膜外血肿的预后

Prognosis of extradural haematomas in children.

作者信息

Mohanty A, Kolluri V R, Subbakrishna D K, Satish S, Mouli B A, Das B S

机构信息

Department of Neurosurgery, National Institute of Mental Health and Neuro Sciences, Bangalore, India.

出版信息

Pediatr Neurosurg. 1995;23(2):57-63. doi: 10.1159/000120936.

Abstract

102 children treated surgically for intracranial extradural haematoma from 1982 to 1991 were evaluated retrospectively and their prognosis was compared with 387 adults treated during the same period. Children had a better prognosis than adults even with a low Glasgow Coma Scale (GSC) score at surgery. Children had a higher incidence of frontal and posterior fossa haematomas. The GCS score and the associated parenchymal injuries had a strong correlation with the outcome both in adult and children, whereas the site of haematoma had no correlation with the final outcome.

摘要

对1982年至1991年期间接受手术治疗的102例儿童颅内硬膜外血肿患者进行回顾性评估,并将其预后与同期接受治疗的387例成人患者进行比较。即使在手术时格拉斯哥昏迷量表(GSC)评分较低的情况下,儿童的预后也比成人好。儿童额叶和后颅窝血肿的发生率较高。格拉斯哥昏迷量表评分和相关的脑实质损伤在成人和儿童中均与预后密切相关,而血肿部位与最终预后无关。

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