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題名 | 外傷性後顱窩硬膜上血腫 |
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作者姓名(中文) | 蔡宗佑; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 20:5 1987.09[民76.09] |
頁次 | 頁412-416 |
分類號 | 416.291 |
關鍵詞 | 外傷性後顱窩硬膜上血腫; |
語文 | 中文(Chinese) |
中文摘要 | 硬腦膜上血腫(epidural hematoma )可能是後顱窩外傷性血腫中最常見的一種病變。馬偕紀念醫院從1979年7月至1986年6月,共經歷20例後顱窩外傷性硬腦膜上血腫病例,佔所有顱內硬腦膜上血腫病例的8.4%。其中男性17例,女性3例,年齡從4歲到51歲不等;6例合併小腦天幕上病變,12例合併同測枕骨骨折;1例因臨床情況來不及作進一步檢查卽行手術治療,1例以頸動脈血管攝影(carotid angiogram)檢查發現病灶部位,其餘均接受腦斷層掃描(CT scan of brain)檢查。20例中有19例接受手術治療,1例因手術後再次出血,1例因送達醫院已無法自行呼吸而未接受手術,共2例死亡,18例恢復情況良好。為了早期發現外傷性後顱窩病變,電腦斷層掃描是一種非常重要的檢查方法。 |
英文摘要 | From July 1979 to June 1986, 20 cases of traumatic posterior fossa epidural hematoma (PFEH) were diagnosed, using computed tomography (CT), at the MacKay Memorial Hospital. The rate of incidence of PFEH among all intracranial epidural hematomas was 8.4%. Seventeen patients were males and three, females. The ages in the series ranged from 4 to 51 years. Nineteen cases were operated on to evacuate the hematomas. One of the patients died prior to sugery dut to apnea on arrival. A second patient died of rebleeding following surgery. In six cases the PFEH was associated with supratentorial lesions; fracture of the ipisilateral occipital bone was seen in 12 cases. Except in two cases, all of the patients presented with relatively minor symptoms after sustaining a head trauma, and the survivors returned to a normal condition after evacuation of the: hematomas. When the associated clinical symptoms are mild early detection of lesions through the use of a CT scan is crucial to a rapid and uneventful recovery. and should be emphasized by the attending physicians. |
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