后颅窝硬膜外血肿伤情特点与预后的关系(附57例报告)

摘要

Objective:To analyze the clinical characteristics,prognosis,and treatment of posterior fossa extradural hematoma ( EDH ).Methods:The clinical data of 57 patients with PFEDH admitted into our hospital from Jan. 1996 to Dec.2007 were retrospectively discussed and different variables were statistically analyzed.Results:GCS scores at admission were 25 low(13-15),22 medium(9-12)and 10 high(3-8).CGS scores at admission and prognosis and head CT scanning detected a close relation with the presence of hydrocephalus. Children had better prognosis than adults.Conclusion:Posterior fossa EDH is rare. Favorable GCS scores have favorable prognosis .Patients with a favorable GCS score can choose a conservative approach. Children have better outcomes than adults and the presence of hydrocephalus on CT scan is an ominous sign.%目的:探讨后颅窝硬膜外血肿伤情特点与预后的关系.方法:对我院1996年1月～2007年12月收治的57例后颅窝硬膜外血肿临床资料进行回顾性研究,分析不同变量并进行统计学处理.结果: 本组入院时按格拉斯哥昏迷分级法(GCS)评分:轻型(13～15分)25例,中型(9～12分)22例,重型(3～8分)10例.本病预后与入院时GCS评分及头颅CT扫描提示有无脑积水密切相关,小儿患者的预后好于成年患者.结论:后颅窝硬膜外血肿相对少见,入院时GCS评分对于判断病情、及时诊治有重要意义,评分较高者可以暂时选择保守治疗.小儿患者预后好于成年患者,头颅CT扫描提示脑积水者病情危重.