非手术治疗急性外伤性颅内血肿（附287例报告）  

Acute Traumatic Intracranial Hematoma with Non-operative Treatment(Report of 287 Cases)

作　　者：陈政良[1] 刘海华[1] 徐逢仁[1] 王琳芳[1] 尹跃新 王勇[1] 

机构地区：[1]同济医科大学附属协和医院急诊外科

出　　处：《伤残医学杂志》1996年第1期15-17,19,共4页Medical Journal of Trauma and Disability

摘　　要：本组报告急性外伤性颅内血肿采用非手术治疗２８７例，占收治１０８３例颅内血肿的２６．５％。１例因病情恶化中转手术治疗；其余２８３例经保守治疗取得良好疗效。治愈率达９８．６％。本文将血肿量分为大、中、小３型．中型１４３例．占本组５０％．大型在４０ｍｌ以上７７例占本组病例２７％、其中有４例血肿量达９８ｍｌ也采用了非手术治疗。全组病人均行ＣＴ复查证实血肿被吸收、治疗时间最短１２天．最长达５９天，平均２４．４天。We report 287 cases who have acute traumatie intractanial hematoma in this group.All patients adopted non-operative treatmeat,oceupated 26.5 perent in 1083 cases with intracranial hematoma 4 cases changed to be operated because of their exacerbation.The other 283 cases get well Curative effect from conservative treatment.The recover rate is 98.6 percent.We sepurate it into 3 kinds according to the amount of hematoma:large,medium and small.The medium part occupatcd 50 percent in this group.The maxmum amount of hematoma was98ml.The hematoma amount is more than 40ml in 77 cases and it occupated 27 percent.All the patients took CTexamination and the hematoma had been obsorpted.The shorttest therapeutic time was 12 days.The longgest timewas 59 days.The average time was 24.4 days.

关 键 词：颅脑损伤 颅内血肿 非手术疗法 

分 类 号：R651.150.5[医药卫生—外科学]