Nonsurgical Therapy for Acute Traumatic Intracranial Haematoma in Childern
- VernacularTitle:小儿急性外伤性颅内血肿非手术治疗
- Author:
Chuan XU
- Publication Type:Journal Article
- Keywords:
bram injury intracranial hematoma nonsurgical trcatment.
- From:
Chinese Journal of Trauma
1991;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Twenty cases of acute traumatic intracranial haematoma in children were given nonsurgical treatment with the results of 19 recovery and only one failed. There is a close relationship between the volome of haematoma and method of treatment. When the volume of haematoma undre 10ml, it is considered as small-sized hematoma, 10～30ml as medium-sized one, and above 30ml, as large-sized one. Indications for the nonsurgicsal therapy are: (1) patients who are conscious, lethargic, drowsy or in a shallow coma; (2)patients with a haematoma volumc of under 30ml; (3)patients with a structural, translocation of under 1.0cm across the midline of the brain and no pressure or only slight pressure on the cisterna ambiens. Constant intracranial pressure monotoring and CT scanning are imperative to provide pationts with timely management. Surgical intervention should be conducted without delay as soon as intracranial pressure or hematoma volume continuously rises.
