外伤性迟发性颅内血肿

TRAUMATIC DELAYED INTRACRANIAL HEMATOMAS

本文报告外伤性迟发性颅内血肿17例,指出脑挫伤、颅骨骨折、颅内血肿清除减压是外伤性迟发性颅内血肿发生的重要因素,术后或伤后意识障碍无明显好转或恶化是重度脑外伤并发迟发性颅内血肿最主要的临床表现,故应不失时机地在伤后或术后几小时内早期复查CT、早期清除血肿以挽救患者的生命。迟发血肿同原发血肿一样,部分病例可以通过非手术治愈。

This paper reported 17 cases of traumatic delayed intracranial hematomasand pointed out that brain contusion, skull fracture, and evacuation ofintracranial hematoma and decompression were the main predisposingfactors for traumatic delayed hematomas. No consciousness recoveryor even deterioration of conscious disturbances after operation ortrauma was the important clinical features of delayed hematomas insevere head injury. Thus immediate and early follow-up CT scan afteroperation or trauma and early removal of hematoma should be done inorder to save the patient's life. Delayed traumatic hematoma, as wellas primary hematoma, could be cured through conservative treatmentin part of the patients.