外伤性迟发性脑内血肿的临床观察  

The delayed traumatic intracerebral haematomas

作　　者：张光辉[1] 王德虎[1] 陈道文[1] 宋武[1] 刘鹏[1] 

机构地区：[1]中国葛洲坝集团中心医院神经外科,中国葛洲坝集团中心医院CT室

出　　处：《中华外科杂志》1995年第7期430-432,共3页Chinese Journal of Surgery

摘　　要：作者对３７８例颅脑外伤住院患者进行了临床与ＣＴ追踪观查，结果发现外伤性迟发性脑内血肿（ＤＴＩＣＨ）４６例，共７１个血肿，发病率为１２．２％。８６％的患者发生在伤后４８小时内，并多见于中、青年患者。发生血肿部位均在脑挫裂伤区，损伤程度及损伤类型与ＤＴＩＣＨ关系密切。持续性ＩＣＰ监测对早期判断ＤＴＩＣＨ的发生有肯定的临床意义。本组死亡率为１７．４％。同时，作者对ＤＴＩＣＨ的所指范围和时间的定义及发病机理也进行了探讨。AbstractThe results of CT observation of 378 inpatientswith head injury were reported. 46 delayed traumaticintracerebral haematomas ( DTICH)patients werefound to have 71 haematomas. The incidence ofDTICH w8S 12.2%. 80.7% of DTICH patients werenoted 48 hours after injury. Most of them were youngand middle aged persons. The places of baematomaswere at the injured zones. The intracranial pressurecontinous monitor is useful to judge the DTICH duringthe early stage. Surgical operation is proposed for thepatients with many haematomas and displaced centraltissue. The haematomas should be cleansed for the fre-quently occurring haematoma patients. The death rateof the example was 17.4%, which was lower than44%～71%reported elsewhere.

关 键 词：颅脑血肿 外伤 迟发性 临床观察 

分 类 号：R651.15[医药卫生—外科学]