摘要
目的 探讨额区硬膜外血肿的临床特征及手术适应证。方法 对我科近 5年来收治的非穿通性额区硬膜外血肿的患者进行回顾性分析总结。结果 2 0例中 1 1例手术 ,入院时 CT扫描血肿量 >1 0 ml,血肿厚度 >1 cm,手术距受伤时间平均 2 7h(2～ 96 h) ,术中血肿量平均 6 4 ml(36～ 1 0 0 ml)。结论 非穿通性额区硬膜外血肿手术应持积极的态度 ,对于 CT检查血肿量 >1 0 ml,若同时血肿厚度 >1 cm ,即使无症状 。
Objective To explore the clinical characteristics and surgical indications of nonpenetrating frontal epidural haematomas.Methods Twenty patients with nonpenetrating frontal epidural haematomas treated in our department from Feb.1998 to Feb.2003 were analyzed retrospectively.Results Eleven of 20 patients were operated.According to CT scan performed when they entered in the hospital,the volume of each haematoma was>10 ml,the thickness of each haematoma was>1 cm.The average time from being wounded to operation was 27 hours(2～96 hours),and the average volume was 64 ml(36～100 ml)measured during operation.Conclusion The surgical therapy ought to be given to the patients with nonpenetrating frontal epidural haematoma actively.Operation might be performed while the haematoma volume is>10 ml calculated and thickness>1 cm measured by CT scan,even if there is no symptom.
出处
《淮海医药》
2004年第1期15-16,共2页
Journal of Huaihai Medicine
关键词
额区
硬膜外血肿
手术
适应证
颅脑损伤
Craniocerebral trauma
Frontal region
Hematoma,epidural
Surgical,operation
