外伤性迟发性颅内血肿外科手术治疗进展

The Advances in the Surgical Treatment of Delayed Traumatic Intracranial Hematoma

外伤性迟发性颅内血肿的概念最早于1977年由French提出,现在学者们将颅脑外伤后首次CT扫描无颅内血肿,经过一段时间后再次重复CT检查或手术或尸检发现的颅内血肿统称为外伤性迟发性颅内血肿[u.其发病机制尚不明确,主要有脑挫裂伤、减速性损伤、填塞效应、高血压病、创伤性颅内动脉瘤等多种因素相关,伤后24～72 h为血肿形成高峰,若不及时发现和正确处理,预后较差.及时进行外科手术是DTIH的首选治疗方法之一.

Delayed traumatic intracranial hematoma concept was first proposed in 1977 by the French, Delayed traumatic intracranial hematoma was collectively referred to as CT scan after the first to traumatic brain injury intracranial hematoma, repeat CT examination or surgery or autopsy found intracranial hematoma after a period of time. Its pathogenesis is not clear, the factors are cerebral contusion,： deceleration injury, tamponade effect, hypertension, traumatic intracranial aneurysms, is a common clinical secondary brain injury, is impact of one of the main factors forbrain injury patient＇ s clinical condition and prognosis of outcome, 24 to 72 hours after injury hematoma formation peak, if not timely detection and proper treatment, the prognosis is poor. Timely surgery is the preferred treatment Of DTIH.