外伤性迟发性颅内血肿救治体会  

Delayed traumatic intracranial hematoma

作　　者：陈桂增[1] 宋志惠[1] 

机构地区：[1]广东省东莞市人民医院神经外科,523126

出　　处：《中华神经医学杂志》2006年第4期407-409,共3页Chinese Journal of Neuromedicine

摘　　要：目的探讨外伤性迟发性颅内血肿的发病机制、早期诊断及治疗。方法回顾性分析 60例外伤性迟发性颅内血肿临床资料,通过临床观察并CT复查,确诊外伤性迟发性颅内血肿,手术治疗46例,保守治疗14例。结果恢复良好20例,中残18例,重残8例,植物生存2例,死亡12 例。结论脑挫伤、蛛网膜下腔出血、颅骨骨折、高龄为外伤性迟发性颅内血肿的高危因素,细致观察,早期CT复查可以及时发现,提高治疗效果。Objective To evaluate the pathogenesis, early diagnosis and treatment of delayed traumatic intracranial hematoma（DTIH）. Methods A retrospective analysis was performed on 60 patients with delayed traumatic intracranial hematomas. The clinical observation and CT re-examination results showed 46 patients with DTIH were treated with operative therapy, and 14 patients were treated with conservative therapy. Results Good recovery occurred in 20 patients; moderate disability in 18 patients; severe disability in 8 patients, persistent coma in 2 patients and death in 12 patients. Conclusion Cerebral contusion,subarachnoid hemorrhage, skull fracture and senility are dangerous factors ofDTIH. DTIH can be discovered immediately and improved to abtain curative effect by observing carefully and re-examining CT early.

关 键 词：颅脑损伤 迟发性颅内血肿 治疗 

分 类 号：R651.15[医药卫生—外科学]