特急性硬膜下血肿手术治疗临床分析  

作　　者：陈春林 李佰涛 黄志勇 康晓明 

机构地区：[1]广东深圳市石岩人民医院,518108

出　　处：《中国社区医师（医学专业）》2012年第23期147-148,共2页

摘　　要：目的:探讨特急性硬膜下出血的最适宜手术方法。方法:回顾性地选择颅脑创伤后5小时内入院、首次头颅CT就显示硬膜下出血、GCS评分<12分159例,分别予早期急诊手术89例,相对延期手术70例。结果:早期急诊手术组良好率22.5%,病死率40.4%,再手术率27.0%,相对延期手术组良好率78.6%,病死率10.0%,再手术率1.4%。结论:相对延期手术治疗特急性硬膜下出血,有效提高患者生存率和生活质量。Objective:Explore the most appropriate surgical approach to the patients with especially acute subdural hemorrhage.Mathod:Retrospective analysis 159 cases whose first head CT scan shown subdural hemorrhage within 5 hours after craniocerebral trauma and with GCS<12.Among them,89 cases with early emergency surgery and 70cases with relatively delayed operation.Results:Of patients' outcomes in emergency surgery group:the good rate was 22.5%,the fatality rate was 40.4%,reoperation rate was27.0%.The outcomes in Relatively delayed operation group:the good rate was 78.6%,the fatality rate was10.0%,reoperation rate was1.4%.Conclusions:Relative delayed surgecal for special acute subdural hemorrhage can effectively improve patients' survival rate and quality of life.

关 键 词：颅脑损伤 急性硬膜下血肿外科手术 

分 类 号：R743.34[医药卫生—神经病学与精神病学]