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目的:探讨儿童外伤性硬膜外血肿的最佳治疗方法。方法:对37例儿童外伤性硬膜外血肿采取保守治疗11例、钻孔引流血肿溶解治疗24例、开颅血肿清除治疗2例,评价疗效。结果:随访1年,格拉斯哥预后评分1分1例,3分1例,4分3例,5分32例。结论:儿童外伤性硬膜外血肿有手术指征者应尽早手术,手术方法最好选择钻孔引流血肿溶解术,简便易行,是治疗儿童硬膜外血肿的有效方法之一。
Objective: To explore the best treatment of pediatric traumatic epidural hematoma. Methods: Thirty-seven children with traumatic epidural hematoma were treated conservatively in 11 cases, drilled drainage hematoma in 24 cases and craniotomy in 2 cases. The curative effect was evaluated. Results: The follow-up of 1 year, Glasgow prognosis score 1 in 1 case, 3 points in 1 case, 4 points in 3 cases, 5 points in 32 cases. Conclusion: Traumatic epidural hematoma in children with indications for surgical indications should be as soon as possible surgery, the best choice for surgical drainage of drilling drainage hematoma lysis, simple and easy, is an effective method of treatment of children with epidural hematoma.