外伤性迟发性颅内血肿的CT随诊分析  

CT follow-up analysis of traumatic late-occurred intracranial hematoma

作　　者：唐陶富[1] 蒋仁州[1] 

机构地区：[1]永州职业技术学院附属医院影像科,湖南永州425100

出　　处：《中国当代医药》2012年第36期97-98,共2页China Modern Medicine

摘　　要：目的探讨外伤性迟发性颅内血肿的发生时间,提出CT随诊的重要性。方法搜集临床资料完整的外伤性迟发性颅内血肿35例,回顾性分析血肿发生的时间及CT表现特点。结果迟发性颅内血肿CT表现为脑内血肿28例,硬膜下血肿5例,硬膜外血肿2例。发现血肿时间为6～24h者占74.3%(26例),24～72h者占20.0%(7例),3～7d者占5.7%(2例)。结论外伤性迟发性颅内血肿多发生在伤后24h内,是CT复查最重要的时机,及时诊断和治疗是临床预后的关键。Objective To investigate the occurrence time of traumatic late-occurred intracranial hematoma to put forward the importance of CT follow-up.Methods The complete clinical data of 35 cases with traumatic late-occurred intracranial hematoma were collected,and the occurrence time of hematoma and CT performance characteristics were retrospectively analyzed.Results The CT performance of late-occurred intracranial hematoma showed brain hematoma in 28 cases,sub dural hematoma in 5 cases,epidural hematoma in 2 cases.The occurrence time hematoma was 6-24 h in 26 cases,ac counted for 74.3%,24-72 h in 7 cases,accounted for 20.0%,3-7 d in 2 cases,accounted for 5.7%.Conclusion Traumatic late-occurred intracranial hematoma occurs within 24 hours after injury,which is the most important time for CT review,timely diagnosis and treatment is the key to clinical prognosis.

关 键 词：颅脑外伤 迟发性颅内血肿 体层摄影术 X线计算机 

分 类 号：R445.3[医药卫生—影像医学与核医学]