外伤性迟发性颅内血肿的CT随诊观察  

Follow-up Observation on the CT Image for Traumatic Delayed Intracranial Hematoma

作　　者：李洪臣[1] 尚峰[1] 徐海龙[1] 张长存[1] 关怀[1] 刘柯石 

机构地区：[1]通辽市科尔沁区第一人民医院CT室,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5期582-583,共2页Journal of Inner Mongolia Minzu University：Natural Sciences

摘　　要：目的：探讨外伤性迟发性颅内血肿形成的高发时间.方法：搜集通辽市科尔沁区第一人民医院1999-01～2004-12间810例外伤病人的头部CT图像资料,并对其进行回顾性的分析总结.结果：4～24小时复查CT发现迟发性脑内血肿27例占迟发性颅内血肿总数的69%,48小时复查CT发现迟发性颅内血肿9例占迟发性颅内血肿总数的23%,72小时复查CT发现迟发性颅内血肿3例占迟发性颅内血肿总数的8%.结论：外伤性迟发性颅内血肿多出现在外伤后24小时内,伤后24小时内应严密观察患者状况,不能依赖首次CT检查结果.一旦出现头痛、呕吐加剧、意识障碍进行性加重或术后病人状态好转后又加重均应立即复查CT,及时发现新的迟发性颅内血肿,将患者的死亡率及致残率降至最低.Objective： To discuss the high time for the incidence of traumatic delayed intracranial hematoma. Methods： Retrospectively analyzing and summarizing the CT images of 810 cases of traumatic patients＇ heads from January 1999 to December 2004. Results：Among all 39 patients suffering from delayed intracranial hematoma,27 cases （69 % ） happens from 4 to 24 hours, 9 cases （23 % ） did within 48 hours and 3 cases （8 % ） did within 72 hours. Conclusion：Delayed intracranial hematoma for traumatic patients the most likely happened within 24 hours. Doctor should pay close attention to these patients within 24 hours and shouldn＇t only depend on the CT image of first time. Once the patient suffers from severe headache and vomiting, increasingly aggravated disturbance of consciousness and worsened conditions after improvement he should be examined with CT on the head again. The mortality and disability rate of these patients can be decreased by timely finding and treating intracranial hematoma.

关 键 词：CT 外伤性迟发颅内血肿 

分 类 号：R743.34[医药卫生—神经病学与精神病学]