中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2008年
4期
605-606
,共2页
颅内出血,创伤性%脑膜膨出
顱內齣血,創傷性%腦膜膨齣
로내출혈,창상성%뇌막팽출
Intracranial hemorrhage,traumatic%Meningocele
目的 探讨迟发性颅内血肿的早期诊断和正确的治疗措施.方法 对入院首次CT检查未见血肿,以后的病情恶化时复查CT和术后患者行持续颅内压(ICP)监测发现急剧升高,证实发生颅内血肿的66例病例进行临床分析.结果 本组66例迟发性颅血肿患者,预后良好14例,中残10例,重残12例,植物存活0例,死亡30例,死亡率45.5%.结论 在清除急性外伤性颅内血肿时发生急性脑膨出,或患者在病情稳定后出现病情恶化,或颅内压在原基础上突然短时间内急剧升高,应考虑迟发性血肿形成可能,宜尽早钻颅探查或复查CT,及早发现及时治疗可改善预后.
目的 探討遲髮性顱內血腫的早期診斷和正確的治療措施.方法 對入院首次CT檢查未見血腫,以後的病情噁化時複查CT和術後患者行持續顱內壓(ICP)鑑測髮現急劇升高,證實髮生顱內血腫的66例病例進行臨床分析.結果 本組66例遲髮性顱血腫患者,預後良好14例,中殘10例,重殘12例,植物存活0例,死亡30例,死亡率45.5%.結論 在清除急性外傷性顱內血腫時髮生急性腦膨齣,或患者在病情穩定後齣現病情噁化,或顱內壓在原基礎上突然短時間內急劇升高,應攷慮遲髮性血腫形成可能,宜儘早鑽顱探查或複查CT,及早髮現及時治療可改善預後.
목적 탐토지발성로내혈종적조기진단화정학적치료조시.방법 대입원수차CT검사미견혈종,이후적병정악화시복사CT화술후환자행지속로내압(ICP)감측발현급극승고,증실발생로내혈종적66례병례진행림상분석.결과 본조66례지발성로혈종환자,예후량호14례,중잔10례,중잔12례,식물존활0례,사망30례,사망솔45.5%.결론 재청제급성외상성로내혈종시발생급성뇌팽출,혹환자재병정은정후출현병정악화,혹로내압재원기출상돌연단시간내급극승고,응고필지발성혈종형성가능,의진조찬로탐사혹복사CT,급조발현급시치료가개선예후.
Objective To explore the early diagnosis and treatment of delayed intraeranial haematoma.Methods To analyze the patients that were detected haematoma by first CT examine m Hospital, but were diagnosis of intracranial haematome consequently by CT reexamine and ICP monitor. Results 66 patients of delayed intracranial haematoma were evacuated and 30 patients died. The operative mortality was 45.5 %. Conclusion To burr bole in time and repeat CT scan will improve the prognosis of acute eneephalocele and deteriorating patients.
