急性硬膜下血肿直接入院与转送入院对预后影响的比较  

Prognosis of Acute Subdural Hematoma: a comparison between Direct Admission and Indirect Admission.

作　　者：陈习进[1] 李永林[1] 李克民[1] 

机构地区：[1]第四军医大学附属二院神经外科

出　　处：《创伤杂志》1990年第2期81-83,共3页

摘　　要：作者对1976年～1988年收治的急性硬膜下血肿202例分直接入院与转送入院两组,进行回顾性研究。死亡率为33.16%,神经功能恢复良好25.74%。直接入院组以车祸居多,84例中死亡25例(29.76%)。转送入院组以打击伤、跌伤、自行车伤居多,118例中死亡42例(35.59%)。转入组多有中间清醒期,未被重视,以致延误诊断,使神经状态进一步恶化。影响急性硬膜下血肿预后的因素除原发脑伤的严重程度等颅内因素外,延误诊断、未能及时手术等因素仍不可忽视。作者强调在各地区均应有经培训具有一定素质的神经外科医生及必要的设备,使颅脑损伤病人在现场附近就可得到正确的处理,以降低其死亡率、残废率和进一步改善生存质量。202 patients with acute subdural hematoma(ASDH) are reported.The mortality rate was 33.16% and function recovery was 25,74%. 84 were admitted directly and 118 were admitted after transfer from other hospitals. The prognosis in transferred patients, who suffered delays of several hours before receiving definitive surgical care, and experienced a 'lucid interval' was significantly worse than that in direct admitted ones, The mortality in the former was35.59%, compared to 29.76% in the latter, The results of this study indicated now that many patients with ASDH did not receive optimal and timely initial care, Attention should be paid to the training of expert neurosurgeons in every area so that the diagnosis can Be made promptly and operation performed before neurologic deterioration occurs.

关 键 词：硬膜下血肿 预后 颅脑损伤 

分 类 号：R651.15[医药卫生—外科学]