外伤性颅内血肿是神经外科的常见病和多发病,但外伤性迟发性颅内血肿较为少见,约占全部头伤住院病人的1.37-7.4％。自CT问世以来,该病报导逐有增多。病情多突变,诊治困难,死亡率高是本病的特点。国内资料较少,对其缺乏足够的认识,现就其有关问题综述如下: 概述 1891年Bollinger首次以“外伤性迟发性脑卒中”报告以后,不少作者陆续引用这个概念。直到1977年Frech和Dublin根据CT扫描提出外伤性迟发性颅内血肿这个概念,得到了许多作者的 Traumatic intracranial hematoma is a common and frequently occurring neurosurgical disease, but traumatic delayed intracranial hematoma is rare, accounting for about 1.37-7.4% of all head injury inpatients. Since the advent of CT, the number of reported cases has increased. Multiple mutations in the disease, diagnosis and treatment difficulties, high mortality is the characteristics of the disease. Domestic data less, lack of adequate understanding of their relevant issues are summarized below: Overview Bollinger in 1891 the first report of “traumatic delayed stroke”, many authors have cited one after another this concept. Until 1977, Frech and Dublin proposed the concept of delayed traumatic intracranial hematoma based on CT scan, obtained by many authors