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目的探讨颅脑外伤后进展性颅内血肿的临床特点,发病机制及有效诊治措施。方法对53例外伤后进展性颅内血肿病例的临床资料进行回顾性分析。结果手术39例,保守治疗14例,放弃治疗2例,病情稳定出院42例,死亡9例。结论对外伤性颅内血肿动态观察,动态CT监测,可早期确诊进展性颅内血肿,进展性颅内血肿的早期诊断与及时调整治疗方案是改善预后、降低死亡率的关键。
Objective To investigate the clinical features, pathogenesis and effective diagnosis and treatment of progressive intracranial hematoma after craniocerebral trauma. Methods The clinical data of 53 patients with progressive intracranial hematoma after trauma were retrospectively analyzed. Results Surgery in 39 cases, conservative treatment in 14 cases, give up treatment in 2 cases, stable condition was discharged in 42 cases, 9 cases died. Conclusion Dynamic observation of traumatic intracranial hematoma, dynamic CT monitoring, early diagnosis of advanced intracranial hematoma, early diagnosis of intracranial hematoma and timely adjustment of treatment are the keys to improve prognosis and reduce mortality.