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CT问世使脑外科的诊断产生了一个辉煌的飞跃,成为脑外科疾病诊断的主要手段之一。在急性颅脑外伤时,我们先根据CT诊断,后进行手术治疗,从1990～1995年共进行55例临床观察分析,现报告如下。1 临床资料1.1 一般资料55例病人中,男40例,女15例。年龄16～60岁。急性硬膜下血肿13例,伴中线结构移位,均做手术,术后8例治愈,5例死亡(因有严重的脑挫伤、脑水肿)。急性硬外血肿7例,伴中线结构移位,立即手术治愈。慢性硬膜下血肿低密度5例,高密度5例,等密度3例(其中一例中线结构移位不明显)均伴中线结构移位,做手术后均治愈。5例硬膜下小血肿,2例硬膜外小血肿,均小于30ml,无中线结构移位,
The advent of CT has made a brilliant leap in the diagnosis of brain surgery and has become one of the major means of diagnosing brain surgery diseases. In acute craniocerebral trauma, we first based on the CT diagnosis, after surgery, a total of 55 cases from 1990 to 1995 clinical observation and analysis, are as follows. 1 Clinical data 1.1 General Information 55 patients, 40 males and 15 females. Age 16 to 60 years old. Thirteen patients with acute subdural hematoma, with midline shift, were operated on. Eight patients were cured and 5 died (due to severe brain contusion and hydrocephalus). 7 cases of acute external hematoma, with midline structure shift, immediate surgical cure. Chronic subdural hematoma in 5 cases of low density, high density in 5 cases, 3 cases of isodense density (in which the shift of the midline structure is not obvious) are accompanied by midline structure shift, were cured after surgery. 5 cases of subdural hematoma, 2 cases of epidural hematoma, were less than 30ml, no central structure shift,