颅脑损伤患者术后再出血的临床研究  

作　　者：黄文强[1] 朱盛[1] 王东华[1] 周亮[1] 李友富[1] 邓春梅[1] 

机构地区：[1]达州市大竹县人民医院神经外科,四川达州635100

出　　处：《世界中医药》2015年第A01期57-58,共2页World Chinese Medicine

摘　　要：目的分析颅脑损伤患者术后再出血的相关因素及防治措施.方法：总结颅脑损伤术后再出血19 例患者的临床资料,结合相关文献进行回顾性分析.结果：本组19 例患者出院随访1-3 个月,恢复良好8 例,中残2 例,重残3 例,植物生存2 例,死亡4 例,死亡率为21.05%.结论：颅脑损伤患者术后再出血与受伤机制、受伤至首次手术时间、凝血功能异常等因素有关,应注意入院评估,对高危因素患者要有预见性,并使用持续有创动态颅内压监测可及时发现迟发性颅内血肿,提高患者的生存质量.Objective: to analyze the related factors and prevention measures of postoperative hemorrhage in patients with craniocerebral injury. Methods: the clinical data of 19 cases of patients with recurrent hemorrhage after 01 months to 2012 03 months from 2015 to were analyzed retrospectively. Results: 19 cases were followed up for 1 to 3 months, 8 cases recovered well, 2 cases of residual, 3 cases of severe disability, 2 cases of plant survival, 4 cases died, the mortality rate was 21.05%. Conclusion: after craniocerebral injury patients with rebleeding and mechanism of injury, to the first operation time, abnormal blood coagulation factors, should pay attention to the admission assessment, high factors of patients to have the foresight, and the use of continuous invasive intracranial pressure monitoring can timely detection of delayed intracranial hematoma, improve the life quality of the patients.

关 键 词：颅脑损伤 迟发性血肿 危险因素 动态颅内压监测 

分 类 号：R651.15[医药卫生—外科学]