外伤多发性颅内血肿的治疗

目的探讨外伤性多发性颅内血肿的治疗方法，提高抢救成功率。方法回顾复习2003年8月至2008年8月收治的100例外伤多发性颅内血肿患者资料，分析外伤多发性颅内血肿的治疗方法。结果本组手术60例，死亡10例，病死率16．7％，40例保守治疗，死亡4例，病死率10％。结论外伤多发性颅内血肿病情重，变化快，预后较差。对于血肿大、中线移位明显、昏迷和意识障碍进行性加重，颅内压过高或已有脑疝表现者应及时手术，保守治疗过程中需要严密监测生命体征变化，实施颅内压监测，动态CT检查，同时必须注重合并症和并发症的治疗。

Objective To explore the treatment of traumatic multiple intracranial hematomas. Methods 100 patients with traumatic multiple intracranial hematomas were studied. Result 60 cases underwent operation and 10 died. 40 cases received conservative treatment and 4 died. Conclusion The prognoses of the patients with traumatic multiple intracraniall hematomas is very poor. The patients with large edema, the center line obviously shift, coma, high intracranial pressure or hernia should receive operation. The mild hypothennic treatment with continuous monitoring of intracranial pressure and the management of complication play an important role and could improve the outcome of the patients with traumatic multiple intracranial hematomas.