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目的探讨快速自然消散的急性外伤性颅内血肿的临床特征及疗效。方法收集13例快速消散的急性外伤性颅内血肿,其中急性硬膜下血肿12例,脑内血肿1例,1周内动态CT扫描,同时给予脱水剂、止血药、胃粘膜保护剂等。结果6例血肿24小时内完全消散,5例血肿24～72小时内完全消散,2例血肿72小时～1周内完全消散,全部病例恢复良好。结论快速自然消散的急性外伤性颅内血肿保守治疗效果好,头颅动态CT扫描对于本病的诊断及治疗具有重要的指导意义。
Objective To investigate the clinical characteristics and curative effect of acute traumatic intracranial hematoma rapidly and naturally dissipated. Methods Thirteen cases of acute traumatic intracranial hematoma were collected, including 12 cases of acute subdural hematoma, 1 case of intracerebral hematoma, dynamic CT scan within 1 week, dehydration agent, hemostatic agent and gastric mucosal protective agent. Results 6 cases of hematoma completely dissipated within 24 hours, 5 cases of hematoma completely disappeared within 24 to 72 hours, 2 cases of hematoma completely disappeared within 72 hours to 1 week, all cases recovered well. Conclusions Conservative treatment of acute traumatic intracranial hematoma rapidly and naturally dissipated has a good effect. CT dynamic head scans have important guiding significance for the diagnosis and treatment of this disease.