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目的:讨论重度颅脑损伤术后迟发颅内血肿再手术相关风险及临床应对措施。方法:取青岛开发区第一人民医院2002-06-2009-11重度颅脑损伤开颅术后迟发颅内血肿再手术患者36例,分析临床治疗经过及结果。结果:全组患者死亡8例,植物生存3例,重残5例,中残6例,恢复良好14例。结论:迟发颅内血肿再手术与多因素相关,及时再手术部分患者仍可以有良好预后。
Objective: To discuss the re-operation-related risks and clinical measures of delayed intracranial hematoma after severe craniocerebral injury. Methods: The First People ’s Hospital of Qingdao Development Zone, 2002-06-2009-11 severe craniocerebral injury after intracranial hematoma delayed reoperation in 36 patients, analysis of clinical treatment and results. Results: All patients died in 8 cases, 3 cases of plant survival, 5 cases of severe disability, 6 cases of moderate disability, and 14 cases recovered well. Conclusion: Delayed intracranial hematoma reoperation and multiple factors related to timely reoperation in some patients can still have a good prognosis.