外伤性迟发性颅内血肿的临床体会（附84例报告）  

Clinical Study of Delayed Traumatic Intracranial Hematoma

作　　者：戴兵[1] 杨魁元[1] 简志宏[2] 刘仁忠[2] 

机构地区：[1]惠州市惠康医院神经外科,广东惠州516003 [2]武汉大学人民医院神经外科,湖北武汉430000

出　　处：《国际医药卫生导报》2007年第17期24-25,共2页International Medicine and Health Guidance News

摘　　要：目的探讨外伤性迟发性颅内血肿发生的危险因素。方法回顾性分析84例外伤性迟发性颅内血肿的临床表现、影像学资料、治疗和预后,分析其GCS评分、年龄、首次颅脑CT表现和损伤方式与外伤性迟发性颅内血肿的关系。结果外伤性迟发性颅内血肿的危险因素有：减速性和复合性损伤;GCS评分9～12分;首次颅脑CT表现为颅骨骨折和脑挫伤;年龄〉60岁。结论确定外伤性迟发性颅内血肿的危险因素,早期诊断是改善外伤性迟发性颅内血肿的关键。Objective To clarify the risk factors of delayed traumatic intracranlal hematoma. Methods 84 cases of delayed traumatic intracranial hematoma were included in this study, It was analysed respectively of relativeness of delayed traumatic intracranial hematoma with GCS, age, the first CT scan and traumatic mechanism. Results There are the risk factors of delayed traumatic intracranial hematoma：GCS 9~12, age 〉 60 years, deceleration and mixed injuries, skull fracture and brain contusion. Conclusion It is key to analyze the risk factors and early diagnosis.

关 键 词：外伤性迟发性颅内血肿 危险因素 诊断 

分 类 号：R651[医药卫生—外科学]