颅脑创伤术后非手术区迟发硬膜外血肿的临床特点与治疗方法  

Clinical Features and Treatment of Delayed Epidural Hematoma in Nonoperative Area after Traumatic Brain Injury

作　　者：许炎武 XU Yan-wu(Traumatic Brain Surgery Department,Linyi City,Shandong Province Lanling County People's Hospital,Linyi,Shandong Province,277700 China)

机构地区：[1]山东省临沂市兰陵县人民医院颅脑创伤外科,山东临沂277700

出　　处：《中外医疗》2018年第5期89-91,共3页China & Foreign Medical Treatment

摘　　要：目的观察颅脑创伤术后非手术区迟发硬膜外血肿(DEH)的临床特点,并探讨其治疗方案。方法研究方法为随机对照试验,随机该院2016年3月—2017年6月接诊的150例颅脑创伤术后非手术区迟发性硬膜外血肿患者,观察患者的临床特点,以不同治疗方案为分组依据,将患者分为手术组和保守组,每组75例,手术组患者采用手术治疗,保守组采用药物治疗,观察治疗效果及并发症情况。结果手术组非手术区DEH的发生时间和位置与保守组比较,差异无统计学意义(P>0.05);手术组恢复良好率66.67%,明显高于保守组恢复良好率34.67%,手术组无死亡和昏迷病例,而保守组的昏迷率和死亡率分别为5.33%和4.00%,差异有统计学意义(P<0.05);保守组头痛头晕率57.33%,恶心呕吐率18.67%,癫痫发作6.67%,颅内感染9.33%,均明显高于手术组17.33%,5.33%,0.00%,1.33%,差异有统计学意义(P<0.05)。结论手术是治疗颅脑创伤后非手术区迟发硬膜外血肿的理想方法,有疗效显著,并发症少的优点,有利于改善患者预后。Objective This paper tries toobserve the clinical features of delayed epidural hematoma(DEH)in non-surgical area after craniocerebral trauma and to discuss its treatment plan.Methods Randomized controlled trials were included in the hospital from March 2016 to June 2017 admissions of 150 cases of traumatic brain injury in patients with delayed non-surgical delayed epidural hematoma patients observed the clinical features of patients with different treatment.Patients were random selected and divided into operation group and conservative group according to the protocol.Each group consisted of 75 patients.The patients in operation group were treated by surgery.The patients in conservative group were treated by drugs.The therapeutic effect and complications were observed.Results There was no significant difference in the time and location of DEH in the operation group compared with the conservative group(P>0.05).The recovery rate was 66.67%in the operation group,34.67%in the operation group,and no death in the operation group And coma cases,while those in the conservative group were 5.33%and 4.00%,respectively,with significant differences(P<0.05).In the conservative group,headache dizziness was 57.33%,nausea and vomiting was 18.67%,seizures were 6.67%,9.33%of intracranial infection,were significantly higher than the surgical group 17.33%,5.33%,0.00%,1.33%,the difference was statistically significant(P<0.05).Conclusion Surgery is the ideal method for the treatment of delayed epidural hematoma in non-surgical area after craniocerebral trauma.It has the advantages of significant curative effect and less complications,which is beneficial to improve the prognosis of patients.

关 键 词：颅脑创伤 迟发硬膜外血肿 非手术区 血肿清除术 

分 类 号：R4[医药卫生—临床医学]