外伤性迟发性颅内血肿的CT诊断与疗效观察  

CT diagnosis and adventage observmion of tranmatic chronic intracerbral hematoma

作　　者：崔志沽 韩中山 段瑞平 Cui Zhijie, Han Zhongshan, Duan Ruiping（Department of Radiology, Jinan No. 5 Hospital of PLA, Jinan ,250022, China）

机构地区：济南市第五人民医院,山东济南250022

出　　处：《中国保健》2006年第06X期17-18,共2页Chinese Health Care

摘　　要：目的：探讨外伤性迟发颅内血肿的发生规律。方法：颅脑外伤患者52例，均经2次以上CT检查证实有迟发颅内血肿的存在。结果：52例患者复查CT均有迟发血肿，单发21例，多发31例，血肿主要发生于额、颞部的对冲性损伤部位，首次CT检查有脑挫裂伤者出现迟发血肿的比率较高。结论：迟发颅内血肿与外伤后初诊及复查早晚有关。患者伤后持续昏迷，频繁呕吐或头痛加重，初诊时有脑挫裂伤及蛛网膜下腔出血应及时复查CT以尽早发现迟发颅内血肿的存在。Objective： To study the system of traumatic chronic intacerebral hematoma, nethords- Totally 52 cases of cerebral trauma were stud- ied and these cases who had chronic intracerebral haematoma were examined by two and more times, Results： 52 cases were chronic hematoma by salond CT examination, single 21 cases, multiple 31 cases, hematoma were often bed in the coutrecoup damnification position of fontal and temple. the rayio of hematoma was large when they were examined to be brain contusion, Conclusion： there were some relations between chronic intacerebral haematoma and the time of first and again examination, the patients who were durative coma, ropetitions comitov averaged headache, brain contusion and subarachnoid hmorrhage by first examination, head examine again to detect chronic intracerebral hematoma.

关 键 词：脑外伤迟 发颅内血肿 体层摄影术 X线计算机 

分 类 号：R651.15[医药卫生—临床医学;医药卫生—外科学]