Clinical features of traumatic epidural hematomas in infants

LIANG Ping; ZHAI Xuan; ZHOU Yu-dong; LI Ying-liang; LI Lu-sheng; YU Zeng-peng; XIA Zuo-zhong

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Clinical features of traumatic epidural hematomas in infants

更新时间：2025-01-15

- Clinical features of traumatic epidural hematomas in infants
- Journal of Army Medical University Vol. 31, Issue 17, Pages: 1696-1697(2009)
- 作者机构：
  
  重庆医科大学附属儿童医院神经外科
- 作者简介：
- 基金信息：
- DOI：
  CLC： R726.41;R726.115
- Published：2009，
  
  Published Online：15 September 2009，
- 稿件说明：
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LIANG PING, ZHAI XUAN, ZHOU YU-DONG, et al. Clinical features of traumatic epidural hematomas in infants. [J]. Journal of army medical university, 2009, 31(17): 1696-1697.
DOI：

LIANG PING, ZHAI XUAN, ZHOU YU-DONG, et al. Clinical features of traumatic epidural hematomas in infants. [J]. Journal of army medical university, 2009, 31(17): 1696-1697. DOI：

摘要

目的探讨婴幼儿硬膜外血肿的临床特点。方法回顾性分析73例婴幼儿创伤性硬脑膜外血肿的临床表现及特点，应用婴幼儿神经创伤评分（TINS）方法评估婴幼儿伤情。结果常见临床表现为头皮血肿、呕吐、意识障碍、抽搐；致伤原因绝大多数为坠落伤；手术治疗28例，非手术治疗45例。69例治愈、3例有肢体功能障碍、1例放弃治疗。结论婴幼儿创伤性硬膜外血肿的发病机制、临床表现、诊断、治疗均有不同于年长儿及成人硬膜外血肿的特点；婴幼儿创伤性硬膜外血肿经积极治疗预后良好。

Abstract

Objective To investigate the clinical features of traumatic epidural hematomas (EDH) in infants. Methods The clinical features of 73 infants with traumatic EDH were retrospectively analyzed. The trauma infant neurologic scoring (TINS) was used to evaluate the degree of injury. Results The most common clinical presentations were scalp hematoma

vomiting

disturbance of consciousness and convulsion. Most of the injuries resulted from falling. Among the 73 cases

28 cases were treated by operation and 45 cases have non-operation treatment. In all patients

69 cases were recovered

extremity motor dysfunction was in 3 cases and abandoning treatment in 1 case. Conclusion The pathogenesis

clinical presentation

diagnosis and treatment of traumatic EDH in infants are different from older children and adults. Aggressive treatments can come out good prognosis in infants with traumatic EDH.

关键词

婴幼儿创伤性硬膜外血肿婴幼儿神经创伤评分（TINS）

Keywords

infantsepidural hematomatrauma infant neurologic score

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