迟发性外伤性颅内血肿32例临床分析

Clinical Analysis of 32 Cases of Delayed Traumatic Intracephalic Hematoma

【目的】探讨迟发性外伤性颅内血肿的发病原因、诊疗和预防措施。【方法】回顾性分析32例外伤性迟发性颅内血肿的临床资料，总结分析其影响因素。【结果】治愈28例，植物状态1例，死亡3例。【结论】迟发性颅内血肿常发生于颅脑外伤早期，其发生与外伤部位、脑挫裂伤、颅骨骨折等因素有关；过量脱水、手术减压、凝血功能异常是其诱因。

[Objective] To explore the cause, diagnosis, treatment and preventive measures of delayed traumatic intracephalic hematoma（DTICH）. [Methods]The clinical data of 32 DTICH patients were analyzed retro-spectively. The influential factors were summarized. [Results] Among all patients, 28 cases were cured, and 1 case was persistent vegetative status, and 3 cases died. [Conclusion]DTICH often occurs at the early time of cranioeerebral trauma. The factors such as the position of trauma, cerebral contusion and laceration and skull fracture are related to the incidence of DTICH. Excess dehydration, decompression and coagulation disorder are the causative factors of DTICH.