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目的:探讨外伤迟发性颅内血肿的临床特点及治疗分析。方法:对2002年3月—2007年4月20例外伤性迟发性颅内血肿患者的临床资料进行分析。结果:20例均采用开颅血肿清除术,死亡6例,重残4例,轻残2例,恢复正常者8例。12例得到随访,随访时间为6个月～2年半,其中10例健在,8例正常工作,2例生活能自理。结论:外伤性迟发性颅内血肿以手术治疗为主,根据受伤机制、症状、体征及术中脑组织膨出情况,首次CT等综合分析及时发现血肿,必要时进行探查手术。术后动态CT观察,早期发现及时清除血肿预后较好。
Objective: To investigate the clinical characteristics and treatment of traumatic delayed intracranial hematoma. Methods: The clinical data of 20 patients with traumatic delayed intracranial hematoma from March 2002 to April 2007 were analyzed. Results: All the 20 patients were treated with hematoma removal, 6 died, 4 were severe disability, 2 were disabled and 8 were recovered. Twelve cases were followed up for 6 months to 2 years and a half, of whom 10 were alive and 8 were normal, and 2 were able to take care of themselves. CONCLUSIONS: Traumatic delayed intracranial hematoma is mainly treated by surgery. According to the mechanism of injury, symptoms and signs, intraoperative bulging of brain tissue, CT for the first time and so on, we can find the hematoma in time and probe the operation if necessary. Postoperative dynamic CT observation, early detection of timely removal of hematoma better prognosis.