迟发性外伤性颅内血肿58例临床分析  

Clinical analysis of 58 cases of delayed traumatic intracranial hematomas

作　　者：王宏[1] 汪平[1] 王安生[1] 韩建林[1] 常树林[1] 

机构地区：[1]西安市中心医院神经外科,西安710003

出　　处：《陕西医学杂志》2006年第9期1104-1105,1123,共3页Shaanxi Medical Journal

摘　　要：目的:探讨迟发性外伤性颅内血肿的潜在高危因素,临床特点及诊治。方法:对迟发性外伤性颅内血肿58例的临床资料进行回顾性分析。结果:迟发性外伤性颅内血肿多发生于中老年男性,首次CT检查距受伤时间短,伤后凝血机制障碍的减速性损伤患者。早期临床表现为头痛加剧伴呕吐,意识障碍进行性加重。结论:老年男性,首次CT检查距受伤时间短,凝血机制障碍的减速性损伤是迟发性外伤性颅内血肿的潜在高危因素。临床动态观察,警惕潜在高危因素及早期临床征象,及时复查CT是诊治的关键。Objective,, To investigate the potential risk factors, clinical features, diagnosis and treatment of delayed traumatic intracranial hematomas （DTICH）. Methods： Clinical data of 58 patients with delayed traumatic intracranial hematomas were analyzed. Results.. DTICH occurred mainly in patients who were older men. It occurred most frequently in patients who underwent CT scan within shorter times of post injury. It occurred frequently in head injury of deceleration and it was associated with abnormalities of coagulation. Early symptoms included progressive headache with vomiting, followed by increasing loss of consciousness. Conclusion： Male sex, older age, short time from injury to the first CT scan, injury of deceleration and abnormalities of coagulation appear to be potential factors of DTICH. Paying attention to the early clinical features and repeated CT scanning in time are key determinants of diagnosis and treatment of DTICH.

关 键 词：颅内出血 创伤性/诊断 颅内出血 创伤性/放射照像术 断层摄影术 X 线计算机 颅内出血 创伤性/治疗 

分 类 号：R651.15[医药卫生—外科学]