中、老年人外伤性迟发性颅内血肿151例临床分析

Clinical Analysis of Delayed Traumatic Intracranial Hematoma in 151 Middle and Old Aged Patients

目的探讨中、老年外伤性迟发性颅内血肿(DTICH)临床特点、伴随危险因素及诊疗过程中注意问题。方法回顾分析151例中老年DTICH病例的临床和影像学资料。结果DTICH占中老年颅脑损伤病人的77.8%,死亡率为25.2%。结论对于中老年颅脑损伤患者应密切观察病情变化,警惕DTICH的发生,及时作出诊断、治疗。DTICH多出现于颅脑损伤后72h内或清除其它颅内血肿后突然出现,高峰期是伤后24h。

Objective To explore the clinical features,accompanying risk factor and therapeutic problems in middle and old aged patients with delayed traumatic intracranial hematomas(DTICHs).Method The clinical and imaging data of151patients with DTICHs were analyzed retrospectively.Results The incidence of DTICH in the middle and old aged patients with brain injury was77.8%and the mortality of151patients with DTICH was25.2%.Conclusions The middle and old aged patients with brain injury should closely be observed for early diagnosis and treatment of DTICHs,of which,most occur within72hours after the brain injury or suddenly after removing the intracranial hematoma induced by the injury.