迟发性外伤性颅内血肿20例临床分析  

Clinical analysis on diagnosis and treatment of 20 patients with delayed traumatic intra cephalic hematoma

作　　者：黄剑[1] 肖春蓉[1] 

机构地区：[1]四川省自贡市第三人民医院神经内科,四川自贡643020

出　　处：《实用临床医药杂志》2015年第E01期86-87,共2页Journal of Clinical Medicine in Practice

摘　　要：目的探讨迟发性外伤性颅内血肿（DTICH）发生原因，总结临床诊治经验。方法回顾性分析迟发性外伤性颅内血肿患者20例的临床资料，其中手术治疗13例（65．O％），保守治疗7例（35．0％）。结果恢复良好7例（35．0％），中度残疾6例（30．0％），重度残疾3例（15．0％），植物生存1例（5．0％），死亡3例（15％）。结论DTICH多见于伤后72h内。脑挫裂伤所致的血管损伤、血管自动调节功能失调是DTICH和迟发性外伤性硬膜下血肿形成的主要原因。早期诊断、早期治疗DTICH是提高生存率和生存质量的关键。Objective To investigate the risk factor, diagnosis and treatment of delayed trau- matic intra cephalic hematoma（DTICH）. Methods A retrospective analysis was performed on 20 pa- tients with DTICH, in which 13 cases with surgical treatment and 7 cases with conservative treatment. Results Out of 20 paients, 7 eases（35.0% ） with good recovery, 6（30.0% ） with moderate disability, 3 （15%）with severe disability, 1 case （5.0%） in vegetative state and 3 eases （15.0%） with death. Conclusion The process of delayed traumatic intracerebral or subdural hematoma is associated with in- jury and disorder of automatic regulation function of blood vessel caused by contusion and laceration of brain. Early diagnosis and treatment is important for improving survival and prognosis of DTICH.

关 键 词：迟发性外伤性颅内血肿 颅脑损伤 颅内血肿 

分 类 号：R651.1[医药卫生—外科学]