目的：提高儿童后颅窝硬膜外血肿的诊治水平。方法：报告２５例儿童后颅窝硬膜外血肿的诊断和治疗。结果：该种损伤的临床表现为头痛、呕吐、意识障碍和贫血。颅骨平片多有骨折，有时骨折线可骑跨横窦、矢状窦和枕大孔。ＣＴ可明确血肿部位、大小及合并伤。结论：重视枕部外伤史及早期表现，适时行头颅ＣＴ检查对早期诊断极为重要，尽早手术是降低其病死率的关键 Objective: To improve the diagnosis and treatment of posterior fossa epidural hematoma in children. Methods: The diagnosis and treatment of posterior fossa epidural hematoma in 25 children were reported. Results: The clinical manifestations of this injury were headache, vomiting, disturbance of consciousness and anemia. Skull plain fractures, and sometimes fracture line can ride across the transverse sinus, sagittal sinus and occipital foramen. CT can be clear hematoma site, size and combined injury. Conclusion: Paying attention to the history and early manifestation of occipital trauma, cranial CT examination is very important for early diagnosis. Early surgery is the key to reduce its mortality