急性外伤性颅内血肿再次开颅38例分析  

Reoperations in Patients with Acute Traumatic Intracranial Hematomas: a Report of 38 Cases

作　　者：谭方伦[1] 赵仰胜[1] 朴希君[1] 

机构地区：[1]大连医学院附属第一医院神经外科

出　　处：《中华创伤杂志》1991年第1期13-14,共2页Chinese Journal of Trauma

摘　　要：本文分析38例(41次)急性外伤性颅内血肿患者再次开颅术的原因及预后。其中明确为迟发血肿的12例,扩大血肿的6例,复发血肿的11例。指出对急性外伤性颅内血肿首次术后患者要时刻警惕颅内再发生血肿。首次术后意识障碍无好转或加重、减压窗张力增高是复查CT的重要临床指标。CT复查对再次开颅术具有决定性意义。The cause of re-operation in 38 cases of acute traumatic intracranial hematomas (ATIH), and prognosis in this series were analyzed. Among them, 12 cases were delayed hematomas, 6 cases in which the hematomas were enlarging, and 11 cases were recurrent hematomas. The result demonstrated that: (1) It is necessary to keep close watch over the signs of re-appearance of hematoma for the patients with ATIH after first operation; (2) No recovery or even deterioration of consciousness, and increase of pressure at decompressed area of the skull after operation were important clinical indications for repeating the CF scans; (3) Repeated CT scanning is importat in making deeision for re-operation in ATIH.

关 键 词：脑损伤 颅内血肿 再手术 CT 

分 类 号：R651.15[医药卫生—外科学]