外伤迟发性颅内血肿的特点及治疗

The feature and treatment of traumatic delayed intracranial hematomas

目的 :总结急性颅脑损伤发生迟发性颅内血肿的临床特点及治疗。方法 :急性颅脑损伤经治疗 (包括术中、术后 )病情无改善而恶化者行头颅 CT检查或钻颅探查。结果 :治疗 180例外伤性迟发性颅内血肿 ,死亡 2 8例 ,死亡率 15 .6 %。结论 :急性颅脑损伤患者保守治疗过程或术中、术后病情恶化应想到迟发性血肿形成的可能 ,宜尽早复查头颅 CT或钻孔探查 ,早诊断早治疗可显著改善预后。

Objective: It is to conclude clinical features and treatment of delayed intracranial hematomas in acute brain injury.Methods: CT scan or exploratory trephination was carried out for the disease of acute brain injury getting progressively worse. Results: 28 cases (15.6%) were died in 180 cases after treatment. Conclusion: Early CT scan or exploratory trephination ought to be carried out when acute brain injury got progressively worse. The prognosis would be got better if early diagnosis and treatment were accomplished. \;