急性外伤性颅内血肿60例临床诊治分析

Clinical analysis of 60 cases of acute traumatic intracranial hematomas

目的:总结分析急性外伤性颅内血肿早期诊断及其治疗方法。方法:统计分析急性外伤性颅内出血60例患者的资料、诊断、治疗方法及其效果。结果:60例患者中硬膜外血肿28例(46.7%),死亡3例(10.7%);硬膜下血肿20例(33.3%),死亡5例(25%);脑室内血肿12例(20%),死亡2例(16.7%);总死亡10例(16.7%)。结论:头颅CT能使颅内血肿早期诊断率提高,早期正确治疗能提高治愈率,降低死亡率。

Objective：To analyse the early diagnosis and treatment of acute traumatic intracranial hematomas.Methods：Analyze the data,diagnosis,treatment methods and results of 60 cases of acute traumatic intracranial hematomas.Results：Of the 60 cases,10（16.7%）died.Among them,3（10.7%）in 28 of acute extradural hematoma,5（25%）died in the 20 of acute subdural hematoma;2（16.7%）died in the 12 of intracerebral hematoma.Conclusions：CT scan is helpful to the early diagnosis of intracranial hematoma.The rate of cure would be reduced and the rate of the death decrease,if early diagnosis and correct treatment were accomplished.