外伤性基底节区脑内血肿45例临床分析  

Clinical analysis of 45 patients with traumatic basal ganglion hematomas

作　　者：程峰[1] 张曙光[1] 李晓良[1] 石磊[1] 潘天鸿[1] 

机构地区：[1]江苏大学附属昆山市第一人民医院神经外科,215300

出　　处：《临床神经外科杂志》2014年第6期466-468,共3页Journal of Clinical Neurosurgery

基　　金：昆山市2012年社会发展科技计划项目(KS1231)

摘　　要：目的探讨外伤性基底节区血肿(TBGH)的发病机制、临床特点、诊断及治疗。方法回顾性分析我院45例外伤性基底节区血肿患者的临床资料。结果 45例病例中,手术治疗15例,保守治疗30例。伤后6个月GOS评分:良好GOS 5分24例,中度残疾,生活能简单自理GOS 4分7例.重度致残GOS 3分12例,持续植物生存GOS 2分,0例,死亡GOS 1分2例。结论外伤性基底节区血肿发病率低而致残率较高,患者的年龄、血肿大小、颅内压、伴发其他颅内损伤等因素均可影响预后,早期积极治疗是改善预后的关键。Objective To discuss the pathogenesis, clinical characteristic, diagnosis and treatment of the traumatic basal gangliahematomas （TBGH）.Methods The clinical data of 45 patients with TBGH were analyzed retrospectively.Results Of 45 patients with TBGH, 15 were taken operation, 30 were taken the conservative treatment.GOS of 6 months after injury showed 24 cases were in good prognosis,7 in moderate disability,12 in severe disability,none was in vegetative state and 2 died.Conclusion The incidence of TBGH is low and the morbidity rates is high,the key to improve the prognosis is due to the early diagnosis,a positive and appropriate treatment.

关 键 词：颅脑外伤 基底节区出血 诊断 预后 

分 类 号：R651.15[医药卫生—外科学]