颅脑损伤患者进展性颅内血肿增多196例诊治体会  

Clinical experience of 196 patients of craniocerebral injury with intracranial hematoma increasing evolutionally

作　　者：张国栋[1] 姜晓玲[1] 郑建辉[1] 黄春刚[1] 刘维田[1] 常久魁 李建华[1] 刘全良[2] 周晋[1] 徐雅彪 张萌[1] 

机构地区：[1]河北省唐山市丰润区人民医院神经外科,河北丰润064000 [2]河北省唐山市丰润区人民医院检验科,河北丰润064000

出　　处：《河北中医》2013年第12期1915-1916,1920,共3页Hebei Journal of Traditional Chinese Medicine

摘　　要：目的探讨颅脑损伤患者入院后颅内血肿进展性增多的诊断及治疗方法，总结如何尽量降低死亡率和致残率。方法回顾性分析2005-07-2013-07我院收治的颅脑损伤患者196例，住院时首次CT扫描未见颅内血肿23例，颅内已形成血肿173例，血肿量为12～32mL，观察1．5～72h内病情变化，再次复查cT见颅内出现血肿和原有血肿不同程度增多，及时采取相应的治疗措施。结果患者出院后6个月，根据格拉斯哥预后评分（GOS）评订预后，其中恢复良好124例，中残40例，重残19例，植物生存5例，死亡8例。结论因外伤性致颅内血肿的患者住院后，颅内血肿短时间有继续增多的可能，注意观察病情变化，及时诊断并采取治疗措施，患者能得到较好的治疗效果。Objective To summarize the diagnosis and treat method about intracranial hematoma increasing evolutionally after patients with craniocerebral injury admitting to hospital and about how to reduce the mortality and morbidity to the greatest extent. Methods The clinical data of 196 patients with craniocerebral injury from July 2005 to July 2013 in Fengrun District people＇shospital was analyzed retrospectively. There are 173 cases of intracranial he matoma by brain CT scan on 196 patients admitting to hospital, with 12 ~ 32 mL of hematoncus ; Not 23 cases of in tracranial hematoma. After observing conditions in 1.5 ~ 72 hours, relevant treatments were carried on when observ ing the emerging and Original hematoma increasing to some degree by reviewing brain CT scan. Results All cases were followed up for more than half an year. According to GOS, 124 cases were in good recovery, 40 cases in moder ate disability, 19 cases in severe disability, 5 cases in plants survived and 8 cases in death. Conclusion After pa tients with craniocerebral injury admit to hospital, there is possibillity of intracranial hematoma increasing evolutional ly, so it is important to observe conditions. The patients can obtain good treatment effect by expedited diagnosis and decisive treatments.

关 键 词：颅脑损伤 血肿 硬膜内 颅内 

分 类 号：R651.15[医药卫生—外科学]