头后部着力的颅脑损伤225例临床分析

Clinical analysis in 225 cases of craniocerebral trauma of cephalic posteriors.

本文分析225例头后部着力的颅脑损伤,其临床特点为:(1)88％的脑挫裂伤位于对冲部位的额颞叶;(2)对冲伤的发生率随年龄增大而增高,老年者的发生率高达88％;(3)易发生迟发性血肿;(4)伤情重而复杂。救治体会为:(1)对伤势危重者,应根据受伤机理和临床表现作出判断,及时行对冲部位之额颞探查,必要时探查着力部;(2)对老年伤者应予高度重视和严密观察;(3)此类病人均应以“临床重型”看待,予以留院观察治疗,必要时连续CT扫描,以免延误诊治。

In this paper,we have analysed 225 cases of craniocerebral trauma of cephalic posteriors.The clinical characteristics were that:1.88% of the contusion and laceration of brain lay in frontotem-poral lobe of contrecoup location,2.incidience rate of contrecoup contusion of brain was increased as the growth of age; 3.the dalayed hematoma appeared easily; and 4.the injury condition was serious and complex.We believed that 1.critical patient of injury should be according to the mechnism of the injury and clinical manifestation to make the judgemend,explored frontotemporal lobe of contrecoup location immediately,and if necessary,the location of injury should be explored; 2.the aged patient should be paid more attention and obeserved closely; 3.this sort of patient should be regarded as'clinical critical cases',and should be hospital- ized for observation.If necessary,serial CT scan of brain was given in order to avoid delaying diagnosis and treat.