迟发性外伤性颅内血肿临床分析  

Clinical analysis of delayed traumatic Intracranlal hematoma

作　　者：郑彦[1] 罗其中[1] 邱永明[1] 

机构地区：[1]上海第二医科大学附属仁济医院神经外科,200001

出　　处：《现代神经疾病杂志》2001年第1期32-33,共2页

摘　　要：目的 探讨迟发性外伤性颅内血肿患者的临床特点,以提高疗效。方法 回顾分析1998年1月～2000年7月收治的17例迟发性外伤性颅内血肿患者的临床资料,其中脑内血肿9例,硬膜外血肿5例,硬膜下血肿3例。结果 在17例迟发性外伤性颅内血肿患者中,经治疗恢复良好者9例,中残4例,重残2例,死亡2例。结论 迟发性外伤性颅内血肿的发生同外伤部位、脑挫伤、颅骨骨折等因素有关。降低迟发性外伤性颅内血肿的死亡率和致残率的关键在于及时诊断和及时治疗。Objective The therapeutic experience of 17 patients with delayed traumatic intracranial hematoma(DTIH) was summarized. Methods Seventeen patients with DTIH admitted in this hospital from Jan. 1998 to July 2000 were analyzed retrospectively. Among 17 patients with DTIH, there were 9 cases of in-tracerebral hematoma, 5 cases of extradural hematoma, 3 cases of subdural hematoma. Results It was showed that 9 cases with good recovery, 4 cases with moderate disability, 2 cases with severe deficits, and 2 dead after therapy. Conclusion The DTIH is occurred correlating with traumatic location, contusion and laceration of the brain and skull fracture.The prompt diagnosis and treatment is the key for reducing the morbidity and mortality rates.

关 键 词：外伤性脑出血 脑损伤 血肿 预后 

分 类 号：R651.15[医药卫生—外科学]