外伤性迟发性颅内血肿的诊治体会  

Experience of diagnosis and treatment for delayed traumatic intracephalic hematoma

作　　者：许亦群[1] 仪立志[1] 钟天安[1] 贾军[1] 尹夕龙[1] 

机构地区：[1]广东深圳市龙岗中心医院神经外科,深圳518116

出　　处：《中国实用神经疾病杂志》2006年第2期11-12,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨外伤性迟发性脑内血肿(DTICH)临床特点,以提高早期诊断和正确处理能力。方法回顾性分析我院诊治的42例DTICH患者的病因、发生机制、血肿类型、部位、临床表现、诊断、治疗及结果。结果康复良好26例,中残6例,重残4例,植物生存2例,死亡4例。结论DTICH形成的原因多样。降低DTICH病死率和致残率的关键在于早期诊断和及时治疗。Objective To explore the clinical characteristic of delayed traumatic intracephalic hematoma（DTICH） for improving the ability of early diagnosis and correct treatment for DTICH. methods To retrospectively analyze the etiology, pathogenesis, of category hematoma and position, clinical findings, diagnosis, treatment and results in 42 patients wilh DTICH. Results 26 cases were good recovery（61,9% ）, 6 cases were moderate disabled（ 14.3 % ）, 4 cases were Severe disabled（9.5 % ）, 2 cases were vegetably alive（4.8% ）, 4 eases were dead（9.5 % ）. Conclusion The cause of DTICH are diversify, and the key point to decrease mortality and mutilation rate is to make diagnosis and treatment early.

关 键 词：脑损伤 颅内出血 创伤性 迟发性 

分 类 号：R743.34[医药卫生—神经病学与精神病学]