https://www.yiliao.com/index.php?action=history&feed=atom&title=%E5%87%B9%E9%99%B7%E6%80%A7%E9%AA%A8%E6%8A%98 2026-04-21T04:49:46Z 本wiki的该页面的版本历史 MediaWiki 1.35.1 https://www.yiliao.com/index.php?title=%E5%87%B9%E9%99%B7%E6%80%A7%E9%AA%A8%E6%8A%98&diff=275024&oldid=prev 2015-01-13T13:06:29Z

<p></p> <table class="diff diff-contentalign-left diff-editfont-monospace" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="zh-Hans-CN"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">←上一版本</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">2015年1月13日 (二) 13:06的版本</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l1" >第1行：</td> <td colspan="2" class="diff-lineno">第1行：</td></tr> <tr><td class='diff-marker'>−</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>'''凹陷性骨折'''见于颅盖骨骨折，好发于额骨及顶骨，呈全层内陷。成人凹陷性骨折多为凹陷及粉碎性骨折；婴幼儿可呈乒乓球凹陷样骨折。</div></td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">'</ins>'''凹陷性骨折'''见于颅盖骨骨折，好发于额骨及顶骨，呈全层内陷。成人凹陷性骨折多为凹陷及粉碎性骨折；婴幼儿可呈乒乓球凹陷样骨折。</div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>== 临床表现 ==</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>== 临床表现 ==</div></td></tr> <!-- diff cache key yixue20260209:diff::1.12:old-246762:rev-275024 --> </table>

王京京 https://www.yiliao.com/index.php?title=%E5%87%B9%E9%99%B7%E6%80%A7%E9%AA%A8%E6%8A%98&diff=246762&oldid=prev 2015-01-13T03:10:14Z

<p></p> <table class="diff diff-contentalign-left diff-editfont-monospace" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="zh-Hans-CN"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">←上一版本</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">2015年1月13日 (二) 03:10的版本</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l1" >第1行：</td> <td colspan="2" class="diff-lineno">第1行：</td></tr> <tr><td class='diff-marker'>−</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">'</del>'''凹陷性骨折'''见于颅盖骨骨折，好发于额骨及顶骨，呈全层内陷。成人凹陷性骨折多为凹陷及粉碎性骨折；婴幼儿可呈乒乓球凹陷样骨折。</div></td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>'''凹陷性骨折'''见于颅盖骨骨折，好发于额骨及顶骨，呈全层内陷。成人凹陷性骨折多为凹陷及粉碎性骨折；婴幼儿可呈乒乓球凹陷样骨折。</div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>== 临床表现 ==</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>== 临床表现 ==</div></td></tr> </table>

Cola https://www.yiliao.com/index.php?title=%E5%87%B9%E9%99%B7%E6%80%A7%E9%AA%A8%E6%8A%98&diff=246761&oldid=prev 2015-01-13T03:09:53Z

<p></p> <table class="diff diff-contentalign-left diff-editfont-monospace" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="zh-Hans-CN"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">←上一版本</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">2015年1月13日 (二) 03:09的版本</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l9" >第9行：</td> <td colspan="2" class="diff-lineno">第9行：</td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>3．神经功能障碍  当骨折片下陷较深时，可刺破硬脑膜，损伤及压迫脑组织而出现偏瘫、失语和/或局灶性癫痫。</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>3．神经功能障碍  当骨折片下陷较深时，可刺破硬脑膜，损伤及压迫脑组织而出现偏瘫、失语和/或局灶性癫痫。</div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr> <tr><td class='diff-marker'>−</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">=</del>== 辅助检查 <del class="diffchange diffchange-inline">=</del>==</div></td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>== 辅助检查 ==</div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>1．实验室检查同[[头皮血肿]]</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>1．实验室检查同[[头皮血肿]]</div></td></tr> <tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l19" >第19行：</td> <td colspan="2" class="diff-lineno">第19行：</td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>⑵ CT扫描  CT扫描不仅可了解骨折情况，且可了解有无合并脑损伤。</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>⑵ CT扫描  CT扫描不仅可了解骨折情况，且可了解有无合并脑损伤。</div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr> <tr><td class='diff-marker'>−</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">=</del>== 治疗 <del class="diffchange diffchange-inline">=</del>==</div></td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>== 治疗 ==</div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>（一）非手术治疗</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>（一）非手术治疗</div></td></tr> </table>

Cola https://www.yiliao.com/index.php?title=%E5%87%B9%E9%99%B7%E6%80%A7%E9%AA%A8%E6%8A%98&diff=242584&oldid=prev 2015-01-12T11:33:43Z

<p>凹陷性骨折</p> <p><b>新页面</b></p><div>''''凹陷性骨折'''见于颅盖骨骨折，好发于额骨及顶骨，呈全层内陷。成人凹陷性骨折多为凹陷及粉碎性骨折；婴幼儿可呈乒乓球凹陷样骨折。<br /> <br /> == 临床表现 ==<br /> <br /> 1．头皮血肿 在受力点有头皮血肿或挫伤。<br /> <br /> 2．局部下陷 急性期可检查出局部骨质下陷。<br /> <br /> 3．神经功能障碍 当骨折片下陷较深时，可刺破硬脑膜，损伤及压迫脑组织而出现偏瘫、失语和/或局灶性癫痫。<br /> <br /> === 辅助检查 ===<br /> <br /> 1．实验室检查同[[头皮血肿]]<br /> <br /> 2．神经影像<br /> <br /> ⑴ X线平片 骨折部位切线位，可显示出骨折片陷入颅内深度。<br /> <br /> ⑵ CT扫描 CT扫描不仅可了解骨折情况，且可了解有无合并脑损伤。<br /> <br /> === 治疗 ===<br /> <br /> （一）非手术治疗<br /> <br /> 1．对骨折位于非功能区凹陷不足1 cm的小面积骨折，无临床症状者不须手术治疗。<br /> <br /> 2．新生儿的凹陷性骨折，应尽量采用非手术复位方法。如使用胎头吸引器置于骨折处，通过负压吸引多能在数分钟内复位。<br /> <br /> （二）手术治疗适应症<br /> <br /> 1．合并脑损伤或大面积骨折片陷入颅腔，导致颅内压增高，CT 显示中线结构移位，有脑疝可能者，应行急诊开颅去骨片减压术。<br /> <br /> 2．因骨折片压迫脑重要部位，引起神经功能障碍如上述偏瘫、癫痫等，应行骨片复位或清除术。<br /> <br /> 3．开放粉碎凹陷性骨折，须行手术清创、去除全部骨片，修补硬脑膜，以免引起感染。<br /> <br /> 4．在非功能区，下陷大于1cm者，视为相对适应症，可考虑择期手术。<br /> <br /> 5．位于大静脉或静脉瘘处的凹陷性骨折，即使下陷较深，如无明显临床症状，可经观察，待充分准备后择期手术。<br /> == 参考资料 ==<br /> <br /> 临床诊疗指南_神经外科学分册</div>

王京京