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目的总结额颞部脑挫裂伤伴血肿患者的临床特点和治疗措施。方法分析我院收治42例额颞部脑挫裂伤患者,回顾临床表现及诊治情况。结果保守治疗16例,手术治疗26例,2例于保守治疗期间出现脑疝死亡,其余均治愈,无残疾。结论额颞部脑挫裂伤有早期症状轻、变化快和晚期治疗困难的特点;在密切观察病情变化的基础上,只要出现血肿即可手术。
Objective To summarize the clinical features and treatment of patients with frontotemporal cerebral contusion and hematoma. Methods Analysis of 42 cases of frontotemporal contusion and laceration in our hospital, reviewing the clinical manifestations and diagnosis and treatment. Results 16 cases were treated conservatively and 26 cases were treated surgically. Two cases died of herniation during conservative treatment and the rest were cured without disability. Conclusion The frontotemporal contusion and laceration of the brain is characterized by early symptoms, rapid changes and difficult treatment in the late stage. On the basis of closely observing the changes of the disease, hematomas can be operated as long as there is a hematoma.