急性颅脑损伤术后迟发性颅内血肿的诊断及治疗  

Experience in Diagnosis and Treatment of Acute Traumatic Brain Injury Delayed Traumatic Intracranial Hematoma

作　　者：王俊[1] 唐超[1] 朱岁军[1] 

机构地区：[1]杭州市余杭区第一人民医院神经外科,浙江杭州311100

出　　处：《医学信息》2012年第9期120-121,共2页Journal of Medical Information

摘　　要：摘耍：目的探讨急性颅脑损伤术后迟发颅内血肿的发生原因，诊断，治疗（再手术）以降低病死率，致残率，改善预后。方法对30例的诊治作回顾临床分析。结果30例急性颅脑损伤术后对侧迟发颅内血肿患者均及时观察发现并做头颅CT证实均及时手术。治愈11例，轻残9例，重残5例，植物生存1例，死亡4例。死亡率133％。结论急性颅脑损伤术后及早发现迟发性颅内血肿及时再手术治疗能大大降低死亡率、致残率，改善预后。Objective To explore how to detect and treat delayed intracranial hematoma timely and to improve patient efficacy and to outcomes. Methods From 30 cases of delayed traumatic intracranial hematoma underwent surgery,the patientg clinical data were retrospectively analyzed and Of the 30 cases,there were V （GOS）II cases, IV 9 cases, III 5 cases, II 1 cases,I 4 cases, the mortality rate was 13.3% Conclusion Delayed hematoma formation has predictability factors and obvious clinical characteristics,we shoud consider risk factors and enhance observationearly diagnosis and treatment can improve eficacy.

关 键 词：急性颅脑损伤术后迟发性颅内血肿外科治疗 

分 类 号：R651.15[医药卫生—外科学]