CT呈混杂密度影的急性硬脑膜外血肿患者的临床特征及预后  

Clinical features and prognosis of acute epidural hematoma patients with hybrid density CT imaging

作　　者：席宇君 陈浩[2] 薛彦平[1] 盛敏峰 董军[1] 

机构地区：[1]苏州大学附属第二医院神经外科,江苏省215004 [2]苏州大学附属第二医院影像科,江苏省215004

出　　处：《江苏医药》2017年第13期940-942,共3页Jiangsu Medical Journal

摘　　要：目的分析急性硬脑膜外血肿患者CT呈现混杂密度影的临床特征及预后。方法回顾性分析278例急性硬脑膜外血肿患者的临床资料。其中,71例CT平扫显示有混杂密度影(混杂密度组),207例CT表现为高密度影(高密度组),比较两组患者的临床和CT资料。结果两组患者年龄、性别构成比、受伤时间和出血量均无统计学差异(P>0.05)。在2~6h的动态CT复查中,混杂密度组患者再次GCS评分下降≥2分和显示出血量增多病例的比例高于高密度组(84.4%vs.43.3%和88.9%vs.45.4%)(P<0.01)。结论 CT呈现混杂密度影的急性硬脑膜外血肿患者,病情呈进行性加重,病死率高,预后差,应行动态CT复查,以便早期实施手术干预,提高救治成功率。Objective To analyze the clinical features and prognosis of acute epidural hematoma patients with hybrid density CT imaging.Methods The clinical data of 278 patients with acute epidural hematoma were analyzed retrospectively,of whom hybrid density imaging on CT scan was showed in 71cases（group A）and high density in 207cases（group B）.Results There were no significant differences in age,sex,injury time and volume of bleeding between two groups（P〉0.05）.During dynamic CT examinations in 2to 6hours,the percentages of patients with a decrease of Glasgow coma score≥2points and an increase of bleeding were higher in group A than those in group B（84.4% vs.43.3% and 88.9% vs.45.4%）（P〈0.01）.Conclusion Acute epidural hematoma patients with hybrid density CT imaging predicts progressively enhancement of the illness,poor prognosis and high motality.Attention should be paid to dynamic CT examinations in order to decide early surgical intervention and improve the success rate of treatment.

关 键 词：硬脑膜外血肿 CT混杂密度影 

分 类 号：R651[医药卫生—外科学]