37例外伤性迟发性颅内血肿的诊治体会-迟发性外伤性颅内血肿VIP免费

下载后可任意编辑37 例外伤性迟发性颅内血肿的诊治体会:迟发性外伤性颅内血肿37 例外伤性迟发性颅内血肿的诊治体会:迟发性外伤性颅内血肿 【摘要】 目的 探讨外伤性颅内迟发性血肿的临床特点、机制及治疗。方法 回顾性分析近 5 年来收治的 37 例外伤性颅内迟发性血肿的临床资料。31 例行颅骨切除清除血肿减压,6 例在显微镜下行小骨窗切开清除血肿。结果 本组37 例再次行开颅血肿清除术。恢复良好 15 例,中残 9 例,重残 5 例,植物生存 1例,死亡 7 例。结论脑挫伤、蛛网膜下腔出血、颅骨骨折、高龄为外伤性迟发性颅内血肿的高危因素,降低外伤性颅内迟发性血肿病死率和致残率的关键在于早期诊断和治疗,临床应实行相应的有效预防措施, 并强调严密观察病情变化、及时复查 CT,以便及时发现并再次手术清除继发性血肿。 【关键词】颅脑外伤; 迟发性颅内血肿; 治疗 Experience to Diagnosis and Treat 37 Cases with Delayed Traumatic Intracranial Hematomas. LI Xiao-sheng, CHEN Jia-yu,LIN Yun-dong,et al.Department of Neurosurgery, The Affiliated Hospital of Xiang Nan College, Hunan xxxx, China 作者单位:xxxx 湘南学院附属医院神经外科(李孝生 陈家玉 林云东); 华中科技大学同济医学院附属协和医院神经外科(朱贤立 赵洪洋) 【 Abstract 】 ObjectiveTo investigate the clinical features, mechanisms and treatment of delayed traumatic intracranial hematoma (DTICH ).Methods Thirty-seven cases of DTICH were analysed retrospectively in the study. The hematoma in 31 cases were removed 1下载后可任意编辑and decompressed by crinial bone resection and 6cases were removed by means of craniotomy with small bone window resection under microscope. Results Good recovery occurred in 15patients;moderate disability in 9patients; severe disbility in 5 patients,persistent coma in 1patients and death in 7 patients. Conclusion Cerebral contusion,subarachnoid hemorrhage,skull fracture and senility are dangerous factors of DTIH. Early diagnosis and treatment is key to successful treatment of patients with DTICH. In...