外伤性迟发性后颅窝血肿的诊断（Diagnosis of traumatic delayed posterior fossa hematoma）.docVIP

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外伤性迟发性后颅窝血肿的诊断（Diagnosis of traumatic delayed posterior fossa hematoma）.doc

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外伤性迟发性后颅窝血肿的诊断（Diagnosis of traumatic delayed posterior fossa hematoma）

外伤性迟发性后颅窝血肿的诊断（Diagnosis of traumatic delayed posterior fossa hematoma） Diagnosis of traumatic delayed posterior fossa hematoma Update: 2010-12-16 Zhong Qu Xuan Zheng Weiming Chen Weijian Wu Enfu Xing Lin Chong rock In our hospital from January 1986 to May 1996 were treated with delayed traumatic hematoma of the posterior fossa in 17 cases, accounting for the same period of traumatic hematoma of the posterior fossa were 17%, CT were found, the author combines diagnosis literature makes a preliminary discussion on the disease. clinical data General data: male 13 cases, female 4 cases, age 8~64 years old, average 25.4 years old. Injured manner: 2 cases of car accident and 15 cases of falling injury. Clinical manifestations: there were 3 cases of primary coma, 3 cases of drowsiness, 5 cases of hazy restlessness, 6 cases of mild coma, and 3 cases of clear consciousness. There were 1 cases of nystagmus, 1 cases of peripheral facial paralysis, 3 cases of external auditory canal bleeding, 2 cases of unilateral limb weakness, 11 cases of contusion or hematoma of posterior occipital skin. CT examination: the first CT examination was within 8 hours after trauma, and the shortest time was 1 hours. Frontotemporal brain contusion and laceration in 6 cases, including 2 cases with subdural hematoma, 3 cases of left temporal occipital epidural hematoma, 2 cases of small intracerebral hematoma, 7 cases of occipital bone fracture. No posterior fossa hematoma or cerebellar contusion was observed. Review CT distance, first CT time is shortest 4 hours, the longest 18 hours. 13 cases of epidural hematoma were found in the posterior cranial fossa, of which 2 occurred after supratentorial hematoma removal, 4 had cerebellar hematoma, and 2 of them had subdural hematomas in the posterior fossa. Treatment results: 3 cases were treated by non operation, 14 cases were treated by operation. 2 cases died, 1 cases of preoperative respiratory arrest, postoperative mortality due to brainstem dysfunc