[1]梁平,翟瑄,周渝冬,等.婴幼儿创伤性硬膜外血肿的临床特点[J].陆军军医大学学报(原第三军医大学学报),2009,31(17):1696-1697.
 LIANG Ping,ZHAI Xuan,ZHOU Yu-dong,et al.Clinical features of traumatic epidural hematomas in infants[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(17):1696-1697.
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陆军军医大学学报(原第三军医大学学报)[ISSN:1000-5404/CN:51-1095/R]

卷:
31卷
期数:
2009年第17期
页码:
1696-1697
栏目:
论著
出版日期:
2009-09-15

文章信息/Info

Title:
Clinical features of traumatic epidural hematomas in infants
作者:
梁平翟瑄周渝冬李映良李禄生于增鹏夏佐中
重庆医科大学附属儿童医院神经外科
Author(s):
LIANG Ping ZHAI Xuan ZHOU Yu-dong LI Ying-liang LI Lu-sheng YU Zeng-peng XIA Zuo-zhong
Department of Neurosurgery, Children’s Hospital, Chongqing Medical University, Chongqing 400014, China
关键词:
婴幼儿创伤性硬膜外血肿婴幼儿神经创伤评分(TINS)
Keywords:
infants epidural hematoma trauma infant neurologic score
分类号:
R726.41;R726.115
文献标志码:
A
摘要:
目的   探讨婴幼儿硬膜外血肿的临床特点。   方法   回顾性分析73例婴幼儿创伤性硬脑膜外血肿的临床表现及特点,应用婴幼儿神经创伤评分(TINS)方法评估婴幼儿伤情。   结果   常见临床表现为头皮血肿、呕吐、意识障碍、抽搐;致伤原因绝大多数为坠落伤;手术治疗28例,非手术治疗45例。69例治愈、3例有肢体功能障碍、1例放弃治疗。   结论   婴幼儿创伤性硬膜外血肿的发病机制、临床表现、诊断、治疗均有不同于年长儿及成人硬膜外血肿的特点;婴幼儿创伤性硬膜外血肿经积极治疗预后良好。
Abstract:
Objective   To investigate the clinical features of traumatic epidural hematomas (EDH) in infants.    Methods   The clinical features of 73 infants with traumatic EDH were retrospectively analyzed. The trauma infant neurologic scoring (TINS) was used to evaluate the degree of injury.    Results   The most common clinical presentations were scalp hematoma, vomiting, disturbance of consciousness and convulsion. Most of the injuries resulted from falling. Among the 73 cases, 28 cases were treated by operation and 45 cases have non-operation treatment. In all patients, 69 cases were recovered, extremity motor dysfunction was in 3 cases and abandoning treatment in 1 case.    Conclusion   The pathogenesis, clinical presentation, diagnosis and treatment of traumatic EDH in infants are different from older children and adults. Aggressive treatments can come out good prognosis in infants with traumatic EDH.

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更新日期/Last Update: 2009-09-14