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作 者:杨全喜[1]
机构地区:[1]商丘市第一人民医院神外二科,河南商丘476100
出 处:《中西医结合心血管病电子杂志》2014年第18期10-11,共2页Cardiovascular Disease Electronic Journal of Integrated Traditional Chinese and Western Medicine
摘 要:目的分析重度颅脑损伤继发的迟发颅内血肿的危险因素、治疗方法及预后。方法回顾性分析我院2010年01月~2013年12月收治的80例重度颅脑损伤患者的临床资料。结果年龄〉60岁、出血部位及血压情况均为重度颅脑损伤继发迟发性颅内血肿的危险因素;经治疗,良好21例(52.5%),中度残废9例(22.5%),重度残废5例(12.5%),植物人生存状态4例(10.0%),死亡1例(2.5%)。结论重度颅脑损伤术后迟发性颅内血肿的发生率较高,其发病危险因素包括年龄、出血部位及高血压等,而对于该类患者应密切监视,并采用恰当方式积极治疗,以提高患者的预后。Objective To analysis summary of severe craniocerebral injury secondary to the risk factors for delayed intracranial hematoma, treatment and prognosis.Methods A retrospective analysis in January 2010-December 2013 clinical data of 80 patients with severe craniocerebral injury.Results Age〉60 years old, bleeding and blood pressure were severe traumatic brain injury secondary to a risk factor for late-onset intracranial hematoma;Effectively at all after treatment, 21 cases (52.5%), moderate disability 9 cases (22.5%), severe disability in 5 cases (12.5%), vegetable condition 4 cases (10.0%), 1 cases died (2.5%).Conclusion The incidence of late intracranial hematoma after severe craniocerebral injury is higher, the disease risk factors including age, bleeding, and high blood pressure, etc., and for these patients should be closely monitored, and USES the appropriate way to active treatment, in order to improve the prognosis of patients.
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