CAJ | 학술논문

目的探讨急性广泛硬膜下血肿的临床特点及诊治策略.方法收集94例经CT证实并经手术治疗的急性硬膜下血肿患者资料,据CT表现分为单纯型急性硬膜下血肿15例、复合型急性硬膜下血肿79例并进行回顾分析.结果按照格拉斯哥预后评分:治愈36例,中残19例,重残17例,死亡22例,病死率为23.4%.结论判断出血来源是单纯型急性硬膜下血肿手术治疗的关键,复合型广泛硬膜下血肿伤情特点导致其预后较单纯型差,采取早期大骨瓣减压术可明显降低颅内高压从而改善患者预后,提高患者生存率、降低病死率及减少术后并发症的发生.
목적 탐토급성엄범경막하혈종적림상특점급진치책략.방법 수집94례경CT증실병경수술치료적급성경막하혈종환자자료,거CT표현분위단순형급성경막하혈종15례、복합형급성경막하혈종79례병진행회고분석.결과 안조격랍사가예후평분:치유36례,중잔19례,중잔17례,사망22례,병사솔위23.4%.결론 판단출혈래원시단순형급성경막하혈종수술치료적관건,복합형엄범경막하혈종상정특점도치기예후교단순형차,채취조기대골판감압술가명현강저로내고압종이개선환자예후,제고환자생존솔、강저병사솔급감소술후병발증적발생.
Objective To investigate the clinical characteristics and therapeutic strategy of acute subdural hematoma. Methods A restrospective study was carried out with a total of 94 consecutive ASDH patients who were confirmed through computed tomographic scan and obtained the clinical characteristics by experienced neurosurgeons.15 cases werepure acute subdural hematoma and the other 79 cases were acute compound subdural hematoma according to CT scan. Results In accordance with the GOS,36 cases had good recovery,19 cases had moderate disability,17 cases had severe disability and 22 cases dead. Conclusion The most important treatment for pure acute subdural hematom was to diagnose the source of bleeding, and acute compound subdural hematoma had poor prognosis than pure acute subdural hematoma since the traumatic severity. Early decraniuim by large bone flap to treat acute compound subdural hematoma could improve survival rate,reduce the fatality rate and decrease postoperative complications.