delayed traumatic posterior fossa hematoma analysis of 25 cases_0（延迟外伤性后颅窝血肿25 cases_0分析）.docVIP

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delayed traumatic posterior fossa hematoma analysis of 25 cases_0（延迟外伤性后颅窝血肿25 cases_0分析）.doc

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delayed traumatic posterior fossa hematoma analysis of 25 cases_0（延迟外伤性后颅窝血肿25 cases_0分析）

Delayed traumatic posterior fossa hematoma Analysis of 25 cases [Abstract] Objective To investigate the delayed traumatic posterior fossa hematoma of the clinical features, early diagnosis and treatment. Methods 25 cases of traumatic posterior fossa hematoma of delayed clinical features, early diagnosis and according to GCS score, hematoma volume and CT, choose surgery or conservative treatment were retrospectively analyzed results of the 9 cases of GCS scoregt; 12 points, hematoma volume ≤ 10ml, ring the pool clear of the fourth ventricle without compression deformation and no cerebellum, brainstem positive signs in the close observation and dynamic CT scan under conservative treatment .16 hematoma volumegt; 10ml, a sudden change in the state of consciousness, irritability, frequent vomiting, headache intensifies, aggressive surgical treatment prognosis: six months after injury according to GOS to determine efficacy, 18 a good recovery, severe disability in 3 cases, 4 deaths, no one died conservative treatment Conclusion Early diagnosis and timely review of CT is delayed traumatic posterior fossa hematoma of the most effective way. According to GCS score, hematoma volume and CT to choose surgery or conservative treatment. [Keywords] Delayed traumatic posterior fossa hematoma treatment Our hospital from March 1999 to October 2010, were treated in delayed traumatic posterior fossa hematoma in 25 cases, accounting for the same period in our hospital after 17% of posterior fossa hematomas were diagnosed with CT scan. Are the clinical features, Early diagnosis and treatment were analyzed retrospectively, the report is as follows. Clinical data 1.1 General Information The group of 17 males, 8 females, aged 9 to 69 years old, average age 46. Which fall injury in 4 cases, combat injury in 6 cases, traffic injuries in 15 cases, all patients had a clear history of head injury. 1.2 Clinical manifestations Primary coma after injury in 17 cases