CAJ | 학술논문

目的探讨颅脑外伤后进展性出血损伤的发生机制和对策。方法对我科2004年4月~2012年9月收治的392例颅脑外伤患者进行回顾性分析。根据入院时患者的格拉斯哥昏迷评分(GCS评分)、首次CT检查距受伤的时间、血肿类型与血肿分布情况等因素分析PHI的临床特点。结果原发性颅脑损伤越重、伤后距首次CT检查的时间越早，PHI的发生率越高；额颞脑挫裂伤导致的脑内血肿，PHI的发生率高。结论颅脑外伤后进展性出血损伤的发生和多种机制有关，要在不可逆性损伤发生之前尽快诊断出PHI,便于及时治疗,减少致残率和死亡率。
목적탐토로뇌외상후진전성출혈손상적발생궤제화대책。방법대아과2004년4월~2012년9월수치적392례로뇌외상환자진행회고성분석。근거입원시환자적격랍사가혼미평분(GCS평분)、수차CT검사거수상적시간、혈종류형여혈종분포정황등인소분석PHI적림상특점。결과원발성로뇌손상월중、상후거수차CT검사적시간월조，PHI적발생솔월고；액섭뇌좌렬상도치적뇌내혈종，PHI적발생솔고。결론로뇌외상후진전성출혈손상적발생화다충궤제유관，요재불가역성손상발생지전진쾌진단출PHI,편우급시치료,감소치잔솔화사망솔。
Objective To explore mechanism of progressive hemorrhage after craniocerebral trauma injury and control measures.Methods A restrospective analysis of 392 cases of traumatic brain injury patient from April 2004 to Octerber 2012 was undertake.We analysed the clinical characteristics of PHI according to Glasgow coma score ( GCS ) at the admission in patients, from injury to the first CT scan time, the type of hematoma and hematoma distribution,etal.Results The more severe of primary craniocerebral injury, the more early from the initial CT scan after injury, the more high of the PHI incidence;Frontotemporal brain contusion and laceration in intracerebral hematoma (ICH),the incidence of PHI is high.Conclusion There were varied machine-processed in progressive hemorrhagic injury,treatment in time before irreversible nerve injury would reduce the rate of dead an disable.