外伤性基底节区血肿28例临床分析  

Clinical analysis of 28 patients with traumatic basal ganglial hematomas

作　　者：王星[1] 蔡洪[1] 刘谊[1] 陈忠[1] 

机构地区：[1]达州市中心医院神经外科,四川达州635000

出　　处：《四川医学》2011年第10期1562-1564,共3页Sichuan Medical Journal

摘　　要：目的探讨外伤性基底节区血肿的发病机制、临床特点、诊断及治疗。方法回顾性分析28例外伤性基底节区血肿患者的临床资料。结果手术治疗11例,其中6例行开颅血肿清除去骨瓣减压术,2例行侧脑室外引流术,3例行锥颅血肿穿刺置管外引流术;保守治疗17例。伤后6个月根据GOS评分:良好9例,中残11例,重残4例,植物生存2例,死亡2例。结论外伤性基底节区血肿发病率低而致残率较高,头颅CT是首选的检查方法,早期诊断和积极恰当的治疗是改善预后的关键。Objective To discuss the pathogenesis,clinicalc characteristic,diagnosis and treatment of the traumatic basal ganglia hematoma（TBGH）.Methods A retrospective analysis of the clinical data of 28 patients with TBGH was performed.Results Eleven cases were taken operation,seventeen cases were taken the conservative treatment.GOS of all the patients were determined after 6 months.Nine cases were in good prognosis,eleven cases were in moderate disability,four cases were in severe disability,two cases were in vegetative state,two cases dead.Conclusion The incidence of TBGH is low and the morbidity rates is high,CT of head is the first choice inspection method,The key to improve the prognosis is due to the early diagnosis,a positive and appropriate treatment.

关 键 词：基底节血肿 颅脑损伤 诊断 治疗 

分 类 号：R651.1[医药卫生—外科学]