急性颅脑损伤后迟发性血肿的诊治经验  

Experience in diagnosis and treatment of acute traumatic brain injury delayed traumatic intracranial hematoma

作　　者：林宁[1] 姚国权[1] 徐礼林[1] 石碑田 

机构地区：[1]安徽省滁州市第二人民医院神经外科,239000

出　　处：《临床神经外科杂志》2011年第6期316-317,共2页Journal of Clinical Neurosurgery

摘　　要：目的探讨如何及时发现急性颅脑损伤后迟发性血肿及治疗。方法对我院38例迟发性外伤性颅内血肿均行手术治疗病人的临床资料进行回顾性分析和总结。结果出院时患者G0S分级:V级14例,Ⅳ级10例,Ⅲ级6例,Ⅱ级2例,Ⅰ级6例。预后优良率(良好+中残)为63.2%(24/38),病死率为15.8%(6/38)。结论迟发性血肿形成有可预见性因素和明显临床特点,对有高危因素者,应加强观察和监护,宜动态复查CT,早诊断早治疗以提高疗效。Objective To explore how to detect and treat delayed intracranial hematoma timely and to improve patient efficacy and to outcomes. Methods From 38 eases of delayed traumatic intracranial hematoma underwent surgery,the patient＇s clinical data were retrospectively analyzed and summarized. Results Of 38 cases, there were V （GOS） 14 cases, IV 10 cases, III 6 cases, II 2 cases, I 6 cases. Good rate （good ＋ residual） was 63. 2% , the mortality rate was 15. 8%. Conclusion Delayed hematoma formation has predictability factors and obvious clinical characteristics,we shoud consider risk factors and enhance observation, repeat CT scan be done. early diagnosis and treatment can imorove efficacy.

关 键 词：急性颅脑损伤 迟发性外伤性颅内血肿 外科治疗 

分 类 号：R651.15[医药卫生—外科学]