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目的:探讨外伤性进展性颅内血肿的观察与治疗手段。方法:对52例进展性颅内血肿临床资料进行回顾性分析。结果:本组手术治疗42例,死亡3例;保守治疗10例,死亡2例。结论:早期应用甘露醇、伴有脑挫伤的小血肿、不规则的脑内血肿、高血糖等均可引起血肿增大。通过意识状态观察,动态复查CT,颅内压监护能早期明确诊断。对血肿量大于30 ml、中线移位大于0.5 cm、环池受压变形的应手术治疗。
Objective: To investigate the observation and treatment of traumatic progressive intracranial hematoma. Methods: The clinical data of 52 patients with progressive intracranial hematoma were analyzed retrospectively. Results: In this group, 42 cases were treated surgically and 3 died. 10 cases were treated conservatively and 2 died. Conclusion: Early application of mannitol, small hematoma with cerebral contusion, irregular intracerebral hematoma, hyperglycemia and so on can cause hematoma enlargement. Through the observation of the state of consciousness, dynamic review of CT, intracranial pressure monitoring early clear diagnosis. The hematoma volume greater than 30 ml, the median shift greater than 0.5 cm, Central pool compression deformation should be surgically treated.