外伤性迟发性颅内血肿50例诊治分析

Diagnosis and treatment of 50 patients with delayed traumatic intracerebral hematoma

目的分析外伤性迟发性颅内血肿发生的病因及临床诊断治疗效果。方法回顾性分析50例外伤性迟发性颅内血肿患者的临床资料，根据格拉斯哥预后判断标准评估患者的预后。结果50例患者经治疗后，恢复良好29例，中度伤残11例，重度伤残5例，植物状态生存3例，死亡2例。结论外伤性迟发性的颅脑损伤所导致的颅内血肿应及早诊断、及时治疗，才能有效改善患者的预后。

Objective To analyze the diagnosis and treatment of patients with delayed traumatic intracranial hematoma. Methods Clinical data of 50 patients with delayed traumatic intracranial hematoma were retrospectively analyzed. According to the Glasgow Outcome criteria,the prognosis of patients recovery results were assessed. Results In 50 patients after treatment, a good recovery in 29 cases, moderate disability in 11 cases, 5 cases of severe disability, vegetative state survival in 3 cases ,2 deaths. Conclusion Delayed traumatic head injury caused by intracranial hematoma should be early diagnozed and timely treatment can improve the prognosis of patients and improve survival.