脑挫裂伤后脑内血肿进展性扩大的危险因素

Risk factors for progressive enlargement of intracerebral hematoma after cerebral contusion

颅脑损伤的死亡率很高,手术治疗在颅脑损伤的急救中具有极为关键的作用。颅脑损伤中80%以上病例有脑挫裂伤,多数因对冲伤所致。枕部着力致伤时,常引起对应的一侧或两侧额颞部脑挫裂伤合并血肿,伤情极危重。脑挫裂伤合并硬膜下血肿患者,临床上要高度重视,密切观察病情变化,动态复查头颅CT,及时手术治疗,术中注意保护外侧裂区血管。

The lethality of traumatic brain injury （TBI） is very high, and surgical treatment plays a critical role in the emergency treatment of brain injury. More than 80% of the patients with brain injury suffered from brain contusion and laceration, and most of the damage caused by contrecoup. When the occipital area is injured, it often causes the corresponding side or both sides of the forehead and temporal brain contusion and laceration combined with hematoma, which is very serious. For cerebral contusion and laceration complicated with subdural hematoma patients, we should attach great importance to observe the change of the condition, the dynamic review of the skull CT, timely surgery, and protect the blood vessels in the lateral fissure area during the operation.