摘要
目的探讨迟发性外伤性颅内血肿的临床特点和预后分析.方法回顾性分析我科1999～2005年收治的41例迟发性外伤性颅内血肿的临床资料,分析其临床特点并使用多重线性回归分析进行预后判断.结果迟发性外伤性颅内血肿常常继发于脑挫裂伤和蛛网膜下腔出血.有5个因素与迟发性外伤性颅内血肿的预后密切相关,分别为年龄、确诊时间、GCS评分、确诊时瞳孔变化以及基底受压程度.结论迟发性外伤性颅内血肿的预后和患者的年龄、病情严重程度和确诊时间密切相关,应早期诊断以改善预后.
Objective To investigate the clinical characteristics and out come in patients with delayed intracranial hematoma. Methods The clinical of 41 patients with delayed intracranial hematoma were retrospectively analyzed. Results Delayed intracranial hematoma always occured following the contus ion and laceration of brain and subarachnoid hemorrhage. And the outcome of dela yed intracranial hematoma is related with age, time of diagnosis, GCS score of a dmisson and diagnosis, change of pupils, and the compression degree of fundus. Conclusion The outcome of patients with delayed intracranial hematoma is as sociated significantly with the age, the degree of disease and the time of diagn osis. Early diagnosis of delayed intracranial hematoma can improve the outcome.
出处
《中华神经医学杂志》
CAS
CSCD
2005年第7期716-717,共2页
Chinese Journal of Neuromedicine
关键词
迟发性外伤性颅内血肿
临床特点
预后分析
Delayed traumatic intracranial hematoma
Clinical ch aracteristics
Prognosis
