颅内血肿150例CT前后诊断误差分析  

Analysis of diagnosis in 150 cases with intracanial hematoma befor and after CT

作　　者：张兴毅[1] 林凯[1] 刘毅[1] 樊霞[1] 刘祥[1] 谢智慧[1] 吴永清[1] 

机构地区：[1]遵义医学院第一附院急诊科

出　　处：《遵义医学院学报》1996年第3期211-213,共3页Journal of Zunyi Medical University

摘　　要：本文就150例颅内血肿CT前后的诊断误差进行分析。病人临床症状、体征轻，医生对颅内血肿的特殊性认识不足是CT前后诊断误差的主要原因。提高颅内小血肿诊断率至少有两点意义：①对非静止期的颅内血肿的治疗和观察更为主动，病情平稳者可再作CT对比血肿情况，病情快速加重急需手术者不用再作CT就有明确手术定位。②可为病人口后可能出现的远期并发症如外伤性癫痫等提供依据。The differences of diagnosis between before and after CT examination of 150 patients with intracranial hematoma were analyzed by the authors. The clinical manifestations of all were mild. Doctors didn't realize the speciality of intracranial hematoma sufficiently was the main cause of the difference of diagnosis between before and after CT examination. There were two meanings to promote the diagnosis rate of the small intracranial hematoma. One was to cure and observe the nonstatic period of the small intracranial hematoma more actively. As the condition of the disease stable, CT examination may be done again in contrast with the hematoma. If the disease deteriorated rapidly and must be operated at once, CT examination may fix position. The other one was to provide evidence of complication such as traumatic epilepsy which may appear afterwards in the patient.

关 键 词：颅内血肿 诊断 CT 分析 

分 类 号：R651.150.4[医药卫生—外科学]