创伤性多发颅内血肿45例临床分析  

Clinical analysis of 45 cases of traumatic multiple intracranial hematomas

作　　者：王冰 许慧中 WANG Bing;XU Hui-zhong(Department of Neurosurgery,the Dongtai Hospital Affiliated to Nantong University,Dongtai 224200,Jiangsu,CHINA)

机构地区：[1]南通大学附属东台医院神经外科,江苏东台224200

出　　处：《海南医学》2020年第22期2949-2951,共3页Hainan Medical Journal

基　　金：江苏省卫生厅医改试点单位基金资助项目(编号:YG201318);江苏省盐城市医学青年人才项目资助(编号:盐卫科教2016-4号)。

摘　　要：目的比较不同方法治疗创伤性多发颅内血肿的效果。方法回顾性分析2017年1月至2018年12月南通大学附属东台医院神经外科收治的45例创伤性多发颅内血肿患者的临床诊治资料。结果13例保守治疗,死亡2例,病死率为15.38%;手术32例,死亡3例,病死率为9.38%。结论创伤性多发颅内血肿病情复杂,预后与多种因素有关;对于有明确手术指征的患者应积极手术治疗,其总体预后好于保守治疗者。Objective To compare the effect of different methods on traumatic multiple intracranial hematoma(TMIH).Methods The clinical data of 45 patients with TMIH admitted to the Department of Neurosurgery,Dongtai Hospital Affiliated to Nantong University from January 2017 to December 2018 were retrospectively analyzed.Results There were 13 cases of conservative treatment and 2 deaths,with the fatality rate of 15.38%.A total of 32 cases underwent operation,3 cases died,and the mortality rate was 9.38%.Conclusion Traumatic multiple intracranial hematoma is complicated,and the prognosis is related to many factors.For patients with clear surgical indications,aggressive surgical treatment should be performed,and the overall prognosis is better than that of conservative treatment.

关 键 词：颅脑创伤 多发性颅内血肿 手术 保守治疗 预后 

分 类 号：R651.1[医药卫生—外科学]