迟发性外伤性颅内血肿122例临床分析  

Clinical analysis of delayed traumatic intracranial hematoma in 122 patients

作　　者：陈向东[1] 信照亮[1] 方激扬[1] 

机构地区：[1]浙江义乌市中心医院神经外科,义乌322000

出　　处：《河南实用神经疾病杂志》2004年第3期14-15,共2页Henan Journal of Practical Nervous Diseases

摘　　要：目的探讨迟发性外伤性颅内血肿(DTIH)的临床特点、诱发因素及防治措施.方法对我科自2001-01～2003-06收治的122例DTIH病人的临床及影像学资料进行回顾性分析.结果 DTIH占颅脑损伤病人的8.97%,死亡率23.8%.占同期颅脑损伤术中急性脑膨出病因的35.7%.中老年患者占DTIH患者的45.9%.DTIH发生在24h内占82%,72h内占97.5%.结论 DTIH多发生在颅脑损伤后72h内,伤后24h内发生率较高.多见于中老年患者.DITH是颅脑损伤术中发生急性脑膨出的重要原因.早期诊断和早期治疗是预后良好的关键.Objective To summarize the clinical features, risk factors and prophylactic therapeutic methods in patients with delayed traumatic intracranial hematomas (DTIHs) .Methods The clinical and imaging data of 122 patients with DTTHs who admitted to our department from Jan.2001 to June 2003 were analyzed retrospectively.Results The incidence of DTIH in the 1360 patients with brain injury was 8.97% and the mortality of 122 patients with DTIH was 23.8% .35.7% of the acute intraoperative encephalocele in head injured patients were caused by DTIHs in the same period.45.9 percent of patienes with DTIH were the middle old aged patients.82 percent of patients with DTIH occured within 24 hours and 97.5 percent within 72 hours.Conclusion Most DTIHs occur within 72 hours after the brain injury and it is most common within 24 hours.The incidence of DTIH is higher in the middle old aged patients. DTIHs are the main causes of intraoperative encephalocele in head injured patients. Early diagnosis and early treatment are the key to the successful conclusions.

关 键 词：迟发性外伤性颅内血肿 临床分析 治疗 诊断 

分 类 号：R651.15[医药卫生—外科学]