摘要
本文分析38例(41次)急性外伤性颅内血肿患者再次开颅术的病因及预后。其中明确为迟发血肿12例,扩大血肿6例,复发血肿11例。指出对急性外伤性颅内血肿首次术后的患者,要时刻警惕颅内再发生血肿。首次术后意识障碍无好转或加重、减压窗张力增高的患者应尽早复查CT,CT复查对再次开颅术具有重要的意义。
This paper reported 38 cases of second craniotomy in acute tranmaticintracranial hematomas (ATIH) and analyzed the causes and prognosisof these cases. Among them, 12 cases were definitive delayed hemato-mas, 6 cases were expansion of small hematomas; and 11 cases wererelapsing ones. The results demonstrated that; 1. It is necessary tokeep vigilant for re-occurrence of hematoma after first operation onATIH; 2. In case conscious disturbance did not recover or even dete-riorated, the pressure over decompressed area of the skull increased,then repeated CT scanning was indicated; 3. Repeated CT scanningwas important for second craniotomy in ATIH.
关键词
创伤
颅内血肿
开颅
traumatic
intracranial hematoma
second craniotomy
