外伤致颅内多发血肿的治疗方法  

Multiple Traumatic Intracranial Hematoma Treatment

作　　者：刘永增 

机构地区：[1]河北省沧县医院,河北沧州061000

出　　处：《哈尔滨医药》2014年第3期187-187,189,共2页Harbin Medical Journal

摘　　要：目的探讨外伤致颅内多发血肿的治疗方法。方法对2012年2月至2013年12月收治的130例外伤致颅内多发血肿的治疗方法进行回顾性分析。结果本组手术90例,其中单侧开颅78例,双侧开颅9例,3处开颅3例,死亡21例,死亡率16.2%。40例保守治疗,死亡3例,死亡率7.5%。结论外伤致颅内多发血肿变化较快,病情危重,预后生存质量差。部分患者出现昏迷或意识障碍进行性加重应及时手术治疗,在保守治疗时需要严密监测病人的意识及生命体征变化,动态CT检查,同时必须注重合并症治疗。Objective Investigate the treatment of multiple traumatic intracranial hematoma. Methods From February 2012 to December 2013 were treated 130 cases of traumatic intracranial hematoma multiple treatments were analyzed retrospectively. Results The group of 90 cases of surgery,including 78 cases of unilateral eraniotomy, bilateral craniotomy nine cases, three craniotomy three cases and 21 deaths, the mortality rate of 16.2%. The 40 cases of conservative treatment,3 patients died,the mortality rate of 7.5 %. Conclusion Multiple traumatic intracranial hematoma rapid changes in critical condition, poor prognosis quality of life. Some patients in a coma or unconsciousness aggravated sexual timely surgery when conservative treatment and awareness of the need to closely monitor the patient＇ s vital signs change it, dynamic CT examination, but must focus on the treatment of complications.

关 键 词：颅内血肿 手术 治疗 

分 类 号：R651.1[医药卫生—外科学]