外伤性基底节区血肿的发生、诊断和治疗  

Pathogenesis diagnosis and treatment of traumatic basal ganglia hematoma

作　　者：章震宇[1] 钱露华[1] 

机构地区：[1]江苏省常州市第四人民医院神经外科,213001

出　　处：《中国实用医刊》2013年第8期49-50,共2页Chinese Journal of Practical Medicine

摘　　要：目的探讨外伤性基底节区血肿的发病机制、临床特点、诊断和治疗。方法回顾性分析所收治的16例外伤性基底节区血肿患者的临床资料。结果16例中5例行手术治疗，11例保守治疗，伤后6个月根据格拉斯哥预后评分，良好5例，中残7例，重残3例，死亡1例。结论外伤性基底节区血肿青壮年多见，多为车祸致伤，且常发生于对冲部位，发病率较低，致残率较高。CT扫描是首选的检查方法，动态CT扫描有利于发现迟发性外伤性基底节区血肿。只要早期诊断，经过积极而恰当治疗大部分患者预后较好。Objective To investigate the pathogenesis, clinical characteristics, diagnosis and treatment of traumatic basal ganglia hematoma. Methods The clinical process and treatment of the traumatic basal ganglia hematoma of 16 cases were retrospectively analyzed. Results Five cases were performed with operation. Eleven cases taken conservative treatment. GOS of all the patients were determined after 6 months. Five cases were in good prognosis, 7 cases were in moderate disability, 3 cases were in severe disability, 1 case died. Conclusions Traumatic basal ganglia hematoma most occurred in young adults, and more due to vehicle accident, often occurred in the hedge position. The incidence of TBGH was low and the morbidity rate was high. CT scan is the preferred diagnostic method, serial CT scans are helpful to diagnose the delayed basal ganglia hematoma. Most of the patients have favorable prognosis as long as the diagnosis is early established and the patients ware aggressively treated.

关 键 词：颅脑损伤 基底节血肿 诊断 治疗 

分 类 号：R651.15[医药卫生—外科学]