急性外伤性脑干血肿/出血

Acute Traumatic Brain Stem Hematoma and/or Hemorrhage

我院1988年3月至1995年3月收治急性外伤性脑上血肿/出血30例,占同期急性颅脑损伤2929例的1.0％,急性外伤性颅内血肿及出血1747例的1.7％。全组均未行脑干血肿清除术或定向抽血术而采取保守治疗。结果:良好7例(23.3％),中残3例(10.0％),重残1例(3.3％),植物生存2例(6.7％),死亡17例(56.7％)。对其发生机制、临床表现、血肿/出血部位、诊断与治疗及预后进行分析计论,并与自发性脑上出血进行比较。

Thirty cases of acute traumatic brain stem hematoma arid/or hemorrhagf were admuted during the peri-orl from March 1988 to March 1995,which consisted wilh 1.0% of all of the acute cramocerebral injunes (2929 cases) and i- 7% of all of the acute traumatic mtracramal hematoma and hetnorrhage (1747 cases) ad-mitted m the same penod- All patients were treated conservatively without mtracramal hlood suction- The re-sults showed that 7 cases (23-3%) recovered in good condition,3 cases (10.0%) had mild sequelae,1 case had severe sequelae,2 cases m vegetable states,and 17 cases (56.7%) diecl. The climcal features .diagnosis and treatmi nts were discussed in detail.