以颞叶血肿为主颅脑损伤治疗的临床分析

Clinical analysis of the treatment of craniocerebral injury caused mainly by tremporal lobe hematoma

目的探讨以颞叶血肿为主颅脑损伤的治疗方法以厦死亡原因。方法选择2000年1月～2005年1月以颞叶脑挫裂伤、脑内血肿为主的住院患者，血肿量在20ml左右．除外伴有其它部位脑挫裂伤及颅内血肿病例．根据治疗方法分组．并对其结果进行统计学分析。结果手术组死亡28例．锥颅组死亡10例．保守组死亡13例。结论颞叶血肿较其他部住脑内血肿更具危险性，血肿量20ml左右时应采取手术治疗。

Objective To enplore the treatment and death cause of craniocerebral injury caused mainly by temporal lobe hematoma. Methods In-patients between 2000 and 2005 were selected who had temporal lobe contusion and laceration and intraeerebral hematoma as the main cause with volume of hematoma at the level of 20 ml in addition to brain contusions and lacerations in other areas and intracranial hematoma, Groups were divided according to means of treatment and outcomes of treatment were analyzed statistically. Results There were 28 deaths in the operation group, 10 deaths in the groups of drilled skull and 13 in the conservative group. Conclusion Temporal lobe hematoma is more dangerous than hematoma in other areas, Operation is required when volume of hematoma is as high as 20 ml.