摘要
目的:探讨急性外伤性颅内血肿患者的临床特征与术后迟发性脑出血发生的相关性,寻找防治措施。方法:回顾分析58例急性外伤性颅内血肿患者开颅血肿清除术后再出血的临床资料,其中23例患者术后发生迟发性脑出血(DTIH组),35例未发生(NDTIH)组。对2组患者的临床特征进行总结归纳,分析寻找再出血原因,对迟发性脑出血患者行再次手术治疗,并随访行GOS评分。结果:与NDTIH组比较DTIH组有如下特征:术前GCS评分<8分(p<0.05);术前头颅CT提示多有多发脑挫伤,对冲伤,合并颅骨骨折等,并予及时再次手术治疗,术后随访行GOS评估≥4分18例。结论:根据急性外伤性颅内血肿开颅术后患者的临床特征,及时发现迟发性脑出血,并清除迟发性颅内血肿,是提高疗效的关键。
Objective：To explore the corelation between the clinical features of patients with incidence of acute traumatic intracranial hematoma and late postoperative hemorrhage occurs and to make prevention and control measures. Methods： The clinical data of 58 cases divided two groups, postoperative delayed cerebral hemorrhage（ DTIH, n = 23 ） and did not occur （ NDTIH, n = 35 ）, of acute traumatic in- tracranial hematoma in patients with invasive hematoma removal were retrospectively analyzed , which to invastigate the reason of rehaemor- rhagia and did surgical treatment again , to follow up through GOS score. Results：Compared with the NDTIH group, the DTIH had the fol- lowing characteristics ： preoperative GCS score 〈 8 points （ p 〈 0.05） ; Preoperative skull CT indicated that multiple cerebral contusion, hedge, skull fractures, etc ,which to timely surgery again, there werel8 cases those value of GOS evaluation were four points or more. Conclusion： According to the clinical features of patients with acute traumatic intracranial hematoma after craniotomy, timely detected the late -onset cerebral hemorrhage and eliminated late intracranial hematoma, so could to improve curative effect.
出处
《中国伤残医学》
2013年第12期14-16,共3页
Chinese Journal of Trauma and Disability Medicine
关键词
急性外伤性颅内血肿
迟发性颅内血肿
预后
Acute traumatic intracranial hematoma
Late intracranial hematoma
Prognosis
