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外伤性迟发性颅内血肿在临床上常见,病死率可高达22%～50%。若能及早诊断,避免漏诊和误诊,则可达到满意疗效。1 临床资料1.1 一般资料我们2001～2006年共收治外伤性迟发性颅内血肿患者172例,男109例,女63例,年龄3～71岁,平均37岁。其中车祸伤91例,坠落伤27例,打击伤26例,安全事故19例,其他9例。受伤部位:枕部37例,额部45例,颞顶部84例,5例不详。有原发性高血压20例,糖尿病5例。1.2 临床表现入院时 GCS 评分:<8分35例,8～12分59例,>12分78例。头痛92例,呕吐83
Delayed traumatic intracranial hematoma in clinical common fatality rate can be as high as 22% to 50%. If early diagnosis, to avoid missed diagnosis and misdiagnosis, you can achieve satisfactory results. 1 clinical data 1.1 General Information 2001 to 2006 we treated a total of 172 cases of traumatic delayed intracranial hematoma, 109 males and 63 females, aged 3 to 71 years, mean 37 years. Including traffic accident in 91 cases, fall injuries in 27 cases, 26 cases of injuries, accidents in 19 cases, the other 9 cases. Injured parts: 37 cases of occipital, frontal 45 cases, 84 cases of temporal top, 5 cases unknown. There are 20 cases of essential hypertension, 5 cases of diabetes. 1.2 Clinical manifestations GCS score at admission: <8 points in 35 cases, 8 to 12 points in 59 cases,> 12 points in 78 cases. 92 cases of headache, vomiting 83