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目的探讨外伤性颅内血肿的治疗方法,为临床积累经验。方法回顾性分析我院2005年1月至2009年6月收治的100例外伤性颅内出血患者的临床资料,分析治疗效果。结果本组100例患者中,手术治疗的80例患者死亡18例(18%),出院时患者恢复良好58例,轻残9例,中残3例,重残1例,植物生存1例。非手术治疗的20例中无1例死亡,出院时患者均恢复良好。结论早期诊断和及时处理是提高外伤性颅内血肿治疗效果,降低死残率的有效方法。
Objective To explore the treatment of traumatic intracranial hematoma and to accumulate experience for clinical practice. Methods The clinical data of 100 patients with traumatic intracranial hemorrhage admitted from January 2005 to June 2009 in our hospital were analyzed retrospectively. The therapeutic effect was analyzed. Results Of the 100 patients in our study, 18 (18%) died of surgery in 80 patients, 58 were well recovered, 9 were mildly disabled, 3 were moderately disabled, 1 was severely disabled and 1 was plant-based. None of the 20 nonoperative cases died, and all patients recovered well at discharge. Conclusion Early diagnosis and prompt treatment are effective methods to improve the therapeutic effect and reduce the rate of death after intracranial hematoma.