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急性外伤性颅内血肿1441例临床分析 被引量:59

Clinical analysis of 1441 cases of acute traumatic intracranial hematoma
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摘要 目的:分析急性外伤性颅内血肿治疗经验。方法:统计本院七年来急性外伤性颅内血肿总数、发病率及病因分析其治疗效果。结果:1988年至1995年共收治急性颅内血肿1441例,硬膜外血肿549例(38.1%),死亡50例(9.1%),硬膜下血肿439例(30.5%),死亡120例(27.3%),脑内血肿453例(31.4%),死亡86例(19.0%),总死亡256例(17.8%)。手术和保守治疗死亡率分别为25.5%和3.2%。结论:CT的使用使颅内血肿发病诊断率提高,早期诊断,早期治疗可降低死亡率。 Objective: To analyse the diagnosis and treatment of acute traumatic intracranial hematoma, order to improve their outcome.Methods:From 1988 to 1995, 1441 case of acute traumatic intracranial hematima were retrospectively studied about the etiology, clinical type and mortality rate.Results:Of the 1441 cases, 256(17.8%) died. Among them, 50(91%) in 549 of aucte extradural hematoma, 120(273%)died in the 439 of acute subdural hematoma; 86(18.9%) died in the 453 of intracerebral hematoma. 240(255%) died in the 941 operative cases and 16 (3.2%) died in the 500 nonoperative cases respectively. Conclusion:CT scan is benefit for diagnosis of intracranial hematoma. The mortality rate would be reduced, if early diagnoses and treatment were accomplished.
出处 《中华神经外科杂志》 CSCD 北大核心 1998年第1期2-3,共2页 Chinese Journal of Neurosurgery
关键词 颅内血肿 外伤性 临床分析 病因 诊断 治疗 Intracranial hematoma Acute Traumatic
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参考文献6

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