摘要
目的探讨创伤性侧裂区血肿术后再发血肿的原因，提高抢救成功率。方法回顾性分析50例创伤性侧裂区血肿术后再发血肿的情况，分析其原因。结果在原脑挫裂伤部位出现大块血肿19例（38％），出现对侧迟发性硬膜外血肿15例（30％），脑内血肿扩大9例（18％），原术区硬膜外血肿3例（6％），术后腰椎穿刺致硬膜下血肿3例（6％），脑组织坏死区血肿1例（2％）。结论手术操作和止血不利是再发血肿的主要原因，首次手术对侧存在骨折线和患者血小板减少是再出血的高危因素。
Objective To study the causes of rehematomas after operations of traumatic hematomas of perisylvian area. Methods The causes of 50 cases of rehematoma after operation were analyzed retrospectively. Results The big hematoma in primary contusion and laceration of brain happened in 19 cases（38% ） , delayed epidural hematoma in opposite side in 15 cases （30% ） ,increased intracerebral hematoma in 9 cases（ 18% ） ,epidural hematoma in primary area in 3 cases （ 6% ） , subdural hematoma caused by postoperative lumbaropuncture in 3 cases （6% ） ,hematoma in encephalonecrosis in 1 case（2% ）. Conclusion Insuitable operation and hemostasis are the main causes of rehemonhage, and fracture line in the opposite side, and thrombocytopenia are high risk factors of rehematoma.
出处
《中国综合临床》
北大核心
2008年第5期472-473,共2页
Clinical Medicine of China
关键词
创伤性侧裂区血肿
再出血
止血
Traumatic hematoma of peri-sylvian area
Rehemorrhage
Hemostasis
