颅脑损伤后进展性颅内血肿临床分析

Clinical analysis of progressive intracranial hematoma following craniocerebral injury

目的探讨颅脑损伤后进展性颅内血肿的临床特征和急救措施。方法对我院2006年1月至2011年12月所诊治处理68例颅脑外伤后进展性颅内血肿患者的临床资料进行回顾性分析。结果本组68例患者中,手术治疗65例,保守治疗2例,放弃治疗1例,按GOS评分,出院时恢复良好53例,中残7例,重残3例,植物生存1例,死亡3例。结论颅脑损伤后进展性颅内血肿为临床急危重症,变化快,其预后与及时发现及处理密切相关,动态观察病情变化及时复查CT并急诊手术是成功抢救患者的关键所在。

Objective To investigate the clinical features and the first aid measures of progressive intracranial hematoma following craniocerebral injury. Methods The clinical data of 68 patients with progressive hetrkatoma following craniocerebral injury were analyzed from January 2006 to December 2011. Results Among 68 patients, 65 were performed surgery, 2 recdved the conservative treatment, and 1 patient abandoned. According to Glasgow outcome scale （GOS） at discharge, the good outcome got in 53 cases, moderate disability in 7, severe disability in 3, persistent vegetative in 1 and 3 dead cases. Conclusion Progressive hemorrhagic injury is urgent and deadly case. The prognosis is related to the accurate diagnosis and management. Continuous caring, CT rechecking in time and e- mergency operation are the keys for the treatment of patients.