迟发性外伤性颅内血肿的诊断和治疗  

Diagnosis and Treatment for Delayed Traumatic Intracranial Hematoma

作　　者：李阳平[1] 宋有利 

机构地区：[1]通辽市科尔沁区第一人民医院神经外科,内蒙古通辽028000 [2]通辽市铁路医院急诊科,内蒙古通辽028000

出　　处：《内蒙古民族大学学报（自然科学版）》2007年第2期188-190,共3页Journal of Inner Mongolia Minzu University：Natural Sciences

摘　　要：目的:总结128例迟发性外伤性颅内血肿(DTICH)病人的诊治经验,以期提高早期诊断和治疗能力.方法:对我院11年间收治的128例迟发性外伤性颅内血肿病人的临床资料,进行回顾性分析和总结.结果:128例迟发性外伤性颅内血肿中,手术治疗112例,非手术治疗16例,其中6例病人确认DTICH时已进入脑疝晚期,临床死亡.手术治疗的112例DTICH病人,良好率为81.3%,致残率为8.9%,死亡率为9.8%.结论:早期诊断及时治疗是提高DTICH病人治愈率的关键.Objective： To improve the ability of early diagnosis and correct treatment for DTICH, we summarized the experience of the diagnosis and treatment for delayed traumatic intracerebral hematoma（DTICH）. Methods： Medical records of 128 cases with DTICH from March 1995 to March 2006 in our hospital were analyzed retrospectively. Results： In 128 cases, 112 cases underwent surgical treatment, 16 cases underwent conservative treatment and 6 cases were dead after diagnosed as cerebral hernia. In 112 patients with surgical treatment, the good recovery rate was 81.3 %, the disability rate and the death rate was 8.9 % and 9.8 % respectively. Conclusion： Eearly diagnosis and treatment are important to decrease mortality and disability rate for DTICH.

关 键 词：颅脑损伤 颅内血肿 迟发性 外伤性 

分 类 号：R651.15[医药卫生—外科学]