外伤性迟发性颅内血肿的临床研究

Treatment of decompressive craniectomy on massive cerbral infarction

目的探讨如何及时发现外伤性迟发性颅内血肿及其发病原因、诊断治疗和预防措施。方法对收治的27例迟发性外伤性颅内血肿患者进行回顾性分析。其中脑内血肿12例,硬膜下血肿7例,硬膜外血肿8例。结果27例患者中,恢复良好22例,中残2例,重残1例,死亡2例。结论外伤性迟发性颅内血肿的发生同外伤部位、脑挫裂伤、颅骨骨折等因素有关。过量脱水、手术减压、凝血功能异常是诱因。降低外伤性迟发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 To investingate the clinical features and treatment of delayed post-traumatic intracerebral haematoma(DTICH).Methods Review the 27 cases with DTICH of diagnosis and treatment from 8 2000 to 10 2005.12 intracerebral hematoma,7 subdural hematoma and 8 epidural hematoma.Results Of 27 patients with DTICH,22 were cured,2 severy disabled,in vesgetatire state and 2 died.Conclusion Part of injurt,skull fracture,cerebral contusion and laceration are inducements.The early dignosis and treatment is the key to thesuccessful treatment in the patient with DTICH.