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目的分析婴幼儿重型颅脑损伤的临床特点。方法回顾性分析我科2000年1月~2004年12月以来收治的38例婴幼儿重症颅脑损伤的临床资料。结果婴幼儿重型颅脑损伤有八大特点:(1)致伤因素多为坠落;(2)早期诊断困难;(3)颅骨凹陷性骨折与颅缝分离多见;(4)生命体征变化快;(5)对冲性脑挫裂伤及颅内血肿发生率低;(6)原发性脑损伤表现重;(7)易发生水电解质和酸碱平衡紊乱;(8)恢复能力强。结论婴幼儿重型颅脑损伤有其自身特点,治疗上有其相对的独立性,临床上需注意。
Objective To analyze the clinical features of severe craniocerebral injury in infants and young children. Methods The clinical data of 38 cases of severe craniocerebral injury in infants and young children admitted to our department from January 2000 to December 2004 were retrospectively analyzed. Results There were eight major characteristics of severe craniocerebral injury in infants and young children: (1) Most of the traumatic factors were crashed; (2) Early diagnosis was difficult; (3) Degenerative skull fractures and craniosynostosis were more common; (4) (5) hemorrhagic cerebral contusion and intracranial hematoma hemorrhage; (6) the performance of primary brain injury; (7) prone to water, electrolyte and acid-base balance disorders; (8) strong recovery. Conclusion Infants with severe craniocerebral injury has its own characteristics, the relative independence of treatment, clinically necessary.