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目的探讨伴有“漩涡征”的急性硬膜外血肿的临床特点和治疗方法。方法回顾性分析2005年7月至2007年8月我院收治的20例伴有“漩涡征”的急性硬膜外血肿患者的临床资料,并将其死亡率与同期不伴有“漩涡征”的急性硬膜外血肿患者的死亡率进行统计学分析。结果这20例伴有“漩涡征”的急性硬膜外血肿病人中,治愈8例,轻残3例,重残2例,死亡7例(35.0%,7/20)。伴有“漩涡征”的急性硬膜外血肿患者的手术死亡率明显高于不伴有“漩涡征”者(P<0.01)。结论对于伴有“漩涡征”的急性硬膜外血肿,应引起足够重视,早期诊断,及时积极手术治疗,才能降低死亡率。
Objective To investigate the clinical features and treatment of acute epidural hematoma associated with “whirlpool sign”. Methods The clinical data of 20 patients with acute epidural hematoma associated with “swirl sign” admitted from July 2005 to August 2007 in our hospital were retrospectively analyzed. The mortality rate was not related to the “ Swirl sign ”of acute epidural hematoma mortality in patients with statistical analysis. Results Among the 20 cases of acute epidural hematoma associated with “swirling sign”, 8 cases were cured, 3 cases were lightly disabled, 2 cases were severely disabled and 7 cases died (35.0%, 7/20). The mortality rate of patients with acute epidural hematoma associated with “swirl sign” was significantly higher than those without “whirlpool sign” (P <0.01). Conclusions For acute epidural hematoma associated with “swirl sign”, attention should be paid to early diagnosis and active surgical treatment in order to reduce mortality.