摘要
目的探讨高血压脑出血患者急性期血肿扩张的临床特点、诊断及治疗。方法:回顾性分析7例经头颅CT证实的高血压脑出血急性期血肿扩张病例的临床资料。结果:高血压脑出血患者在起病后8～72小时内可出现颅内血肿的扩张,导致致死性临床症状的恶化。及时头颅CT复查对明确诊断有重要意义。常规内科保守治疗不能降低死亡率,经皮钻颅血肿穿刺抽吸术疗效显著。结论:结合临床及头颅CT监测有助于及时发现血肿扩张,经皮钻颅血肿穿刺抽吸术有望降低死亡率。
Objective: To explore the clinical manifestation, diagnosis and treatment of rapid hematoma enlargement ofhypertensive intracerebral hemorrhage. Methods: We retrospectively studied clinical materials of rapid hematomaenlargement of hypertensive intracerebral hemorrhage confirmed by computed tomography (CT) in 7 cases. Results: Thehematoma of hypertensive intracerebral hemorrhage may undergo a rapid expansion within 8～72 hours after onset, causingsudden lethal clinical deterioration. The second cranial CT in time is helpful to make diagnosis. Routing medical therapycould not decrease mortality, the percutaneous boring cranial suction seems beneficial. Conclusions: According to clinicaland cranical CT monitoring, it may be possible to diagnose hematoma enlargement in time. The percutaneous boring cranialsuction will be helpful to decrease the mortality.
出处
《岭南急诊医学杂志》
2001年第4期248-250,共3页
Lingnan Journal of Emergency Medicine
关键词
高血压脑出血
血肿扩张
头颅CT
血肿抽吸
hypertensive intracerebral hemorrhage
hematoma enlargement
cranial computed temogrophy
hematoma suction
