摘要
目的:探讨颅脑损伤术后继发非手术区迟发性血肿的临床特点和治疗方法。方法:对34例迟发性颅内血肿患者的诊断和治疗资料进行回顾分析。结果:34例迟发性血肿发生于伤后24h内19例,25～72h出现者8例,72h以上出现者7例;非手术区迟发性颅内血肿为脑内血肿18例,硬脑膜外血肿14例,硬脑膜下血肿2例。34例非手术区迟发性颅内血肿中,其中22例开颅血肿清除,4例颅骨钻孔微创清除,8例保守治疗,恢复良好8例,轻度残疾9例,重度残疾9例,死亡8例。结论:继发非手术区迟发性颅内血肿以24h内发生者居多,且以手术对侧者居多;合理应用CT动态检查,及时发现,尽早治疗,能显著改善患者预后,降低病死率和提高患者生存质量。
Objective：To explore the clinical features and treatment method of delayed intracranial hematoma of non-surgical areas after traumatic brain injury. Methods：The clinical data of diagnosis and treatment of 34 patients with delayed intracranial hematoma of non-surgical areas after traumatic brain injury were retrospectively analyzed in our hospital. Results：Among the 34 patients, 19 cases were found delayed intracranial hematoma of non-surgical ar- eas 24h after operation, 2 cases of 25~72h, 7 cases of more than72h; the delayed intracranial hematoma of non-surgi- cal areas inl8 eases were intracerebral hematoma, 14 eases of epidural hematoma, 2 cases of subdural hematoma. 22 eases removed by craniotomy, 4 cases underwent clear burr holes minimally invasive, 8 cases underwent conservative treatment; Glasgow Outcome Classification （GOS） score： 8 cases of good recovery, 9 cases of mild disabilities, 9 cases of severe disabilities, 8 patients died. Conclusions：The delayed intracranial hematoma of non-surgical areas after traumatic brain injury mostly occur in 24h, and in surgery contralateral; reasonable application of CT dynamic scans, early detection and treatment can improve prognosis, reduce mortality and improve quality of life significantly.
出处
《安徽卫生职业技术学院学报》
2012年第6期52-53,55,共3页
Journal of Anhui Health Vocational & Technical College
关键词
颅脑损伤
迟发性颅内血肿
非手术区
craniocerebral injury
delayed intracranial hematoma
non-surgical areas
