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目的:探讨创伤性后颅窝血肿的临床诊断、治疗方法及效果。方法:对21例外伤性后颅窝血肿患者的临床资料进行回顾性分析。结果:后颅窝硬膜外血肿15例,其中单侧11例,双侧2例,跨横窦2例,合并额颞部挫裂伤6例,合并小脑挫裂伤8例,硬膜下血肿4例,合并额颞部挫裂伤1例。术后再出血2例,死亡4例。术后随访12个月,失访3例,随访14例患者预后按GOS分级:1分(死亡)2例,2分(植物生存)1例,3分(重度残疾)1例,4分(轻度残疾)4例,5分(恢复良好)6例。结论:外伤性后颅窝血肿起病急,病情危重,有手术指征的患者及时手术是减轻脑肿胀的有效措施,是改善预后、降低致残率的关键。
Objective: To investigate the clinical diagnosis, treatment and effect of traumatic posterior fossa hematoma. Methods: The clinical data of 21 cases of traumatic posterior fossa hematoma were analyzed retrospectively. Results: There were 15 cases of posterior fossa epidural hematoma, including 11 cases of unilateral, 2 cases of bilateral, 2 cases of transverse transverse sinus, 6 cases of frontotemporal contusion, 8 cases of cerebellar contusion and laceration, Hematoma in 4 cases, combined frontal temporal contusion in 1 case. There were 2 cases of postoperative bleeding and 4 cases of death. The patients were followed up for 12 months and 3 patients were lost to follow-up. The prognosis of 14 patients was followed up according to the GOS grade: 1 case (death) in 2 cases, 2 cases (plant survival) in 1 case, 3 cases Mild disability) 4 cases, 5 points (good recovery) in 6 cases. CONCLUSION: The traumatic posterior fossa hematoma is acute and critically ill. The prompt operation of patients with surgical indications is an effective measure to reduce brain swelling. It is the key to improve the prognosis and reduce the morbidity.