创伤性迟发性脑内血肿诊断体会  

Experience of diagnosis for delayed traumatic intracerebral hematoma

作　　者：黎建华[1] 

机构地区：[1]四川省凉山彝族自治州第一人民医院,615000

出　　处：《临床合理用药杂志》2009年第1期43-43,共1页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的总结创伤性迟发性脑内血肿患者的临床特点、诊治经验。方法对41例创伤性迟发性脑内血肿患者进行回顾性分析。结果手术治疗24例,痊愈17例,好转3例,死亡4例;保守治疗17例,痊愈16例,1例属脑疝晚期,家属拒绝治疗出院后死亡。结论创伤后脑内血肿,如果早期诊断及时合理治疗,预后良好。Objective To summarize the clinical characteristic and experience in diagnosis and treatment of the delayed traumatic intracerebral hematoma. Methods The clinical data of 41 cases of delayed traumatic intracerebral hematoma were analyzed retrospectively. Results There were 24 cases of hematoma centesis operation, 17 patients were healed, 3 pa. tients were relieved and 4 patients died. There were 17 cases of non -operative treatment, 16 patients were healed, and 1 patient with severe cerebral hernia died, which dependents refused medical treatment. Conclusion Delayed intracerebral hematoma is a common complication after head trauma. It may has a good prognosis with early diagnosis and proper treatment.

关 键 词：脑内血肿 创伤性 迟发性 脑挫裂伤 诊断 

分 类 号：R651.15[医药卫生—外科学]