外伤性后颅窝血肿62例诊治及分析  

作　　者：张相波 

机构地区：[1]广东佛山市顺德区大良医院,528300

出　　处：《中国社区医师（医学专业）》2011年第34期40-41,共2页

摘　　要：目的:探讨影响外伤性后颅窝血肿手术预后的因素。方法:回顾性分析62例外伤性后颅窝血肿手术患者的临床资料、手术与治疗效果,就影响后颅窝血肿术后疗效的相关因素进行分析。结果:恢复良好36例,重残7例,轻残10例,死亡9例,病死率14.75%。结论:术前GCS评分、伤后手术时间、血肿量、血肿部位及有无合并其他颅内损伤等因素对患者预后有显著影响,提示对此类患者要早期诊断、早期手术,严密观察术后情况,并注意针对不同情况及时处理方能取得较好疗效。Objectives：To explore the influenced factors of traumatic posterion cranial fossa hematoma with operative.Methods：A total of 62 patients with traumatic posterion cranial fossa hematoma underwent operation were retrospectively analyzed from the clinic datas,therapy and therapeutic efficacy.Results：36 patients were cured.7 patients with severe disabitity.10 patients with mild disability.9patients died（take up 14.75%）.Conclusions：GCS score before operation,the duration from trauma to operation,the size and region of hematoma,complications has significant effects on prognosis.Early diagnosis and operative treatment was recommended.

关 键 词：脑损伤 后颅窝血肿 手术预后 

分 类 号：R651.15[医药卫生—外科学]