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目的介绍扩大硬膜下腔浮动骨瓣减压治疗小儿急性颅内血肿方法。方法回顾性分析8例浮动骨瓣减压方式治疗巨大量小儿急性颅内血肿患者的临床资料。结果 8例患者死亡1例,余均清醒,随访5个月至8年未见患儿颅脑发育异常。神经功能基本恢复3例,轻残2例,重残2例。结论该手术方法既能有效地降低颅内压,又不影响儿童颅脑发育,避免了2次颅骨修补手术痛苦,降低了医疗费用。
Objective To introduce a method to expand decompression of subdural floating bone flap in children with acute intracranial hematoma. Methods A retrospective analysis of 8 cases of floating flap decompression in the treatment of a large number of children with acute intracranial hematoma clinical data. Results 8 patients died in 1 case, I was awake, no follow-up of 5 months to 8 years did not show children with brain dysplasia. Three cases of basic recovery of nerve function, mild residual disability in 2 cases, severe disability in 2 cases. Conclusion The surgical method can not only reduce intracranial pressure effectively but also not affect the brain development of children, avoid the pain of 2 skull repair surgery and reduce the medical expenses.