CAJ | 학술논문

目的研究硬膜外血肿增大的临床规律.方法回顾性地总结硬膜外血肿增大的发生率、对病情变化及近期疗效的影响,分析硬膜外血肿增大的预测凶素.结果 24例(20.3％)患者发生血肿增大.血肿增大的患者病情加重及最终需要手术治疗的比例均明显高于无血肿增大的患者,两组患者出院时的治疗结果差异无统计学意义.血肿增大患者受伤到首次CT检查的时间、首次CT血肿量、入院时的血凝检查结果异常及饮酒嗜好者的比例均与无血肿增大患者存在明显差异.结论急性硬膜外血肿增大的发生率较高,血肿增大对患者病情可造成不利影响,但不影响近期疗效,血肿增大预测因素有受伤到首次CT检查的时间、首次CT血肿量、血凝检查结果异常及饮酒嗜好.
목적 연구경막외혈종증대적림상규률.방법 회고성지총결경막외혈종증대적발생솔、대병정변화급근기료효적영향,분석경막외혈종증대적예측흉소.결과 24례(20.3％)환자발생혈종증대.혈종증대적환자병정가중급최종수요수술치료적비례균명현고우무혈종증대적환자,량조환자출원시적치료결과차이무통계학의의.혈종증대환자수상도수차CT검사적시간、수차CT혈종량、입원시적혈응검사결과이상급음주기호자적비례균여무혈종증대환자존재명현차이.결론 급성경막외혈종증대적발생솔교고,혈종증대대환자병정가조성불리영향,단불영향근기료효,혈종증대예측인소유수상도수차CT검사적시간、수차CT혈종량、혈응검사결과이상급음주기호.
Objective To study the clinical issues of progressive epidural hematoma (PEDH).Method The incidence,impacts on clinical course and short - term outcomes and predictors of PEDH were retrospectively studied.Results PEDH occurred in 20.3％ of the patients.The rates of neurological deterioration and surgical treatment due to the deterioration in patients with PEDH were significantly higher than those in patients without PEDH.There was not a significantly difference in short - term outcome between patients with and without PEDH.There was a significantly difference in the timing from injury to first CT scanning,volume of the hematoma on the first CT,rate of other intracranial injuries,hypocoagulability and heavy alcohol consumption between patients with and without PEDH.Conclusions The incidence of PEDH is 20.3％ or more.PEDH is associated with neurological deterioration.But there is not a association between hematoma growth and poor clinical outcome.The time interval between injury and first CT scanning,volume of the hematoma on the first CT,hypocoagulability,heavy alcohol consumption appear to be independent predictors of hematoma growth.