摘要
目的探讨外伤性特急性硬脑膜下血肿手术治疗的预后及影响预后的临床因素。方法回顾总结我院近4年手术治疗的特急性硬脑膜下血肿病例117例,并进行统计学分析。结果 117例17～70岁年龄段外伤性特急性硬脑膜下血肿手术治疗患者有44例恢复良好,总的恢复良好率为37.6%,死亡57例(48.7%)。其中,25例61～70岁年龄段患者中,恢复良好仅5例(20.0%),手术前双侧瞳孔散大的脑疝患者预后良好率仅为6.0%。结论有适应症的外伤性特急性硬脑膜下血肿患者应尽早手术;老年患者以及手术前双瞳散大的脑疝患者预后差,少数恢复良好者仅见于年轻患者。
Objective To study the clinical prognosis and prognostic factors of surgical treatment of traumatic special acute subdural hematoma （TSASDH）. Methods 117 patients diagnosed as TSASDH and treated in our hospital were reviewed retrospectively. Statistical analysis was performed. Results In the age group 17 - 70, the overall mortality of TASDH was 48.7%, the overall good recovery rate was 37.6%. But, in age group 61 - 70, the good recovery rate was only 20.0%, and in patients with advanced herniation before operation, the good recovery rate was only 6.0%. Conclusions Patients with indications of TASDH should be operated as early as possible; elderly and herniation patients have poor prognosis, only a few younger patients have good recovery.
出处
《临床医学工程》
2012年第11期1959-1960,共2页
Clinical Medicine & Engineering
关键词
外伤性特急性硬脑膜下血肿
手术
预后因素
Traumatic special acute subdural hematoma
Surgical treatment
Prognostic factor
