外伤性迟发性颅内血肿227例预后的相关因素分析  

Analysis of prognosis-related factors in 277 cases with delayed traumatic intracranial hematoma

作　　者：周立平[1] 刘企源[1] 许文辉[1] 蒋震伟[1] 吴达[1] 

机构地区：[1]江苏大学附属宜兴医院神经外科,214200

出　　处：《江苏医药》2013年第10期1199-1201,共3页Jiangsu Medical Journal

摘　　要：目的探讨迟发性外伤性颅内血肿(DTICH)预后的相关因素。方法对227例DTICH患者的临床及影像学资料进行回顾性分析。结果单因素分析显示,减速伤、广泛脑挫伤、外伤性蛛网膜下腔出血、颅骨骨折、手术、术前低血压、术前凝血功能异常均与迟发颅内血肿密切相关(P<0.05)。入院时GCS评分低、多发伤、肺损伤是导致DTICH患者预后差的主要相关原因。结论对存在外伤性迟发性颅内血肿相关因素的患者应进行预后判断。早期手术清除出血灶和积极防治并发症是治疗DTICH的有效手段。Objective To investigate the prognosis-related factors of delayed traumatic intracranial hematoma （DTICH）. Methods Data of 227 cases with DTICH were retrospectively analyzed. Results The lectors of deceleration injury, extensive brain contusion, tSAH, skull fracture, surgery, hypotension and coagulopathy before surgery were closely related to the development of DTICH（P〈0. 05）. Low GCS score at admission, multiple injuries and lung injury were the main factors for DTICH patients to have lower prognosis. Conclusion A prediction of the prognosis should be made in the patients with the factors related to DTICH. Early completely removal of hemorrhage and prevention of complications are effective in the treatment of DTICH.

关 键 词：颅脑损伤 迟发性颅内血肿 

分 类 号：R651[医药卫生—外科学]