CAJ | 학술논문

目的：探讨外伤性迟发性颅内血肿的发病机制、早期诊断及治疗措施。方法回顾性分析该院33例外伤性迟发性颅内血肿的临床资料。结果全组33例，采取保守治疗13例，手术治疗20例，随访3～6个月，按照GOS评价预后恢复良好21例，中残4例，重残3例，植物生存1例，死亡4例。结论如能做到早期诊断、及时治疗，可以降低外伤性迟发性颅内血肿的病死率和致残率，提高抢救的成功率和改善患者预后。
목적：탐토외상성지발성로내혈종적발병궤제、조기진단급치료조시。방법회고성분석해원33예외상성지발성로내혈종적림상자료。결과전조33례，채취보수치료13례，수술치료20례，수방3～6개월，안조GOS평개예후회복량호21례，중잔4례，중잔3례，식물생존1례，사망4례。결론여능주도조기진단、급시치료，가이강저외상성지발성로내혈종적병사솔화치잔솔，제고창구적성공솔화개선환자예후。
Objective To investigate the pathogenesis, early diagnosis and treatment measures of traumatic delayed intracranial hematoma ( DTICH) .Methods The clinical data of 33 patients with DTICH was retrospectively analyzed.Results The patients were followed up for 3~6 months.According to GOS evaluation prognosis ,good re-covery was found in 21 cases,moderate disability in 4 cases,severe disability in 3 cases,plant survival in 1 case,death in 4 cases.Conclusion Early diagnosis and timely treatment can reduce the mortality and morbidity rate of DTICH , improve rescue success rate and improve patients′prognosis.