摘要
目的:探讨急性颅脑损伤术后,对侧迟发性血肿发生的预见性因素、早期CT征象、临床表现及早期诊治。方法:回顾性分析2005年7月～2009年7月期间43例在术中及术后继发对侧迟发血肿患者临床资料,就其致伤原因,致伤部位与迟发血肿部位,原发血肿清除与迟发血肿形成的关系,临床特点与治疗结果进行分析。结果:本组43例患者,手术治疗38例,保守治疗5例。痊愈21例,轻残5例,中残3例,植物生存2例,自动转院3例,死亡9例,死亡率为20.9%。结论:急性颅脑外伤血肿清除术中及术后继发对侧迟发性血肿形成有可预见性因素和明显临床特点,术前作出预测并能早诊、早治,可改善预后。
Objective：To discuss the predictive factors,CT character at early stage,clinic manifestation,early diagnosis and treatment of contralateral delayed hematoma secondary to acute brain injury.Methods：Clinic data of 43 cases with contralateral delayed hematoma secondary to acute brain injury during July 2005 to July 2009 were analyzed retrospectively,including injury cause,location of injury and hematoma,relation between primary hematoma removal and delayed hematoma,clinic feature and treatment.Results：There were 38 cases with surgery,5 cases with conservative treatment.A total of 21 cases were in cure,5 cases in light disability,3 in middle disability,2 in vegetative state,3 had transfer and 9 were dead with dead rate as 20.9%.Conclusions：Contralateral delayed hematoma secondary to acute brain injury is predictable with remarked clinic feature.The prediction before surgery,early diagnosis and treatment in time can improve the prognosis.
出处
《海南医学院学报》
CAS
2010年第9期1180-1182,共3页
Journal of Hainan Medical University
基金
海南医学院科研基金资助学报项目(0020100330)~~
关键词
急性颅脑损伤
对侧迟发血肿
治疗
Acute craniocerebral trauma； Contralateral delayed hematoma； Treatment；
