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1995年10月至2000年10月,我院共手术治疗颅脑损伤后双侧瞳孔散大患儿68例。现报告如下。 临床资料:本文男52例,女16例;年龄10个月至14岁。受伤原因为车祸伤41例,坠落伤15例,跌倒伤7例,击打伤4例,马踢伤1例。闭合性颅脑损伤57例,开放性颅脑损伤11例,其中颅骨凹陷性骨折并上矢状窦破裂2例。头颅CT扫描示硬膜下血肿36例,脑挫裂伤16例,硬膜外血肿19例,颅骨骨折11例。中线移位Ⅰ级3例,Ⅱ级38例,Ⅲ级27例。合并伤27例,其中颌面部皮肤裂伤或撕脱伤6例,四肢骨折13例,脾破裂4例,骨盆骨折2例,肋骨骨折并血气胸2例。呼吸
From October 1995 to October 2000, a total of 68 children with bilateral mydriasis were treated with surgical treatment of head injury in our hospital. The report is as follows. Clinical data: This article male 52 cases, 16 females; aged 10 months to 14 years old. Injuries were caused by traffic accident in 41 cases, fall injuries in 15 cases, fall injuries in 7 cases, hit injuries in 4 cases and horse kick injuries in 1 case. Closed craniocerebral injury in 57 cases, open craniocerebral injury in 11 cases, including skull fractures and upper sagittal sinus rupture in 2 cases. Head CT scan showed subdural hematoma in 36 cases, cerebral contusion in 16 cases, 19 cases of epidural hematoma, skull fracture in 11 cases. The median shift in grade Ⅰ in 3 cases, Ⅱ in 38 cases, Ⅲ in 27 cases. Combined injuries in 27 cases, including maxillofacial skin laceration or avulsion in 6 cases, 13 cases of limb fractures, 4 cases of splenic rupture, pelvic fracture in 2 cases, rib fractures and pneumothorax in 2 cases. Breathe