硬膜外血肿增大的回顾性分析

Retrospective study on progressive epidural hematoma

目的研究硬膜外ff【【肿增夫的临床规律？方法同颐性地总结硬膜外血肿增人的发生率、对病情变化及近期疗效的影响，分析硬膜外血肿增大的预测因素。，结果24例（20．3％）患者发生血肿增大．、血肿增大的患者病情加重及最终需要手术治疗的比例均叫显高于无血肿增大的患者，两组患者出院时的治疗结果差异尤统计学意义。血肿增大患者受伤到首次CT检查的时问、首次CT血肿母、入院时的血凝检台结果异常及饮酒嗜好者的比例均与无血肿增大患者存在明显蓐异．．结论急性硬膜外帆肿增大的发牛牢较高，血肿增大对患者病情可造成不利影响，但不影响近期疗效，血肿增大预测岗素存受伤到首次CT检杏的时问、首次CT血肿量、m凝检查结果异常及饮酒嗜好、

Objective To study the clinical issues of progressive epidural hematoma （PEDH）. Method The incidence, impacls on clinical course and short - term outcomess and predictors of PEDH were retrospectively studied. Results PEDH occurred in 20. 3% of tie patients. The rates of neurological deterioration and surgical treatment due to the deterioration in patients with PEDH were significantly higher than those in patients without PEDH. There was not a significantly difference in short - term outcome between patients with and without PE1）H. There was a significantly difference in the liming fi＇om injury to first CT scanning,volume of the hematoma on the first CT, rate of other intraeranial injuries, hypoeoagulahilily and heavy alcohol consumption between patients with and without PEDH. Conclusions The incidence of PEDH is 20. 3% or more. PEDH is associated with neurological deterioration. But there is not a association between hematoma growth and poor clinical outcome. The time interval between injury and first CT scanning,volume of the hematoma on the first CT, hypncoagulability, heavy alcohol consumption appear to be independent predictors of hematoma growth.