河北中医
河北中醫
하북중의
HEBEI JORNAL OF TRADITIONAL CHINESE MEDICINE
2013年
12期
1915-1916,1920
,共3页
张国栋%姜晓玲%郑建辉%黄春刚%刘维田%常久魁%李建华%刘全良%周晋%徐雅彪%张萌
張國棟%薑曉玲%鄭建輝%黃春剛%劉維田%常久魁%李建華%劉全良%週晉%徐雅彪%張萌
장국동%강효령%정건휘%황춘강%류유전%상구괴%리건화%류전량%주진%서아표%장맹
颅脑损伤%血肿,硬膜内,颅内
顱腦損傷%血腫,硬膜內,顱內
로뇌손상%혈종,경막내,로내
Craniocerebral%inyury,Intracranial hematoma
目的：探讨颅脑损伤患者入院后颅内血肿进展性增多的诊断及治疗方法，总结如何尽量降低死亡率和致残率。方法回顾性分析2005-07-2013-07我院收治的颅脑损伤患者196例，住院时首次CT扫描未见颅内血肿23例，颅内已形成血肿173例，血肿量为12～32 mL，观察1．5～72 h内病情变化，再次复查CT见颅内出现血肿和原有血肿不同程度增多，及时采取相应的治疗措施。结果患者出院后6个月，根据格拉斯哥预后评分（ GOS）评订预后，其中恢复良好124例，中残40例，重残19例，植物生存5例，死亡8例。结论因外伤性致颅内血肿的患者住院后，颅内血肿短时间有继续增多的可能，注意观察病情变化，及时诊断并采取治疗措施，患者能得到较好的治疗效果。
目的：探討顱腦損傷患者入院後顱內血腫進展性增多的診斷及治療方法，總結如何儘量降低死亡率和緻殘率。方法迴顧性分析2005-07-2013-07我院收治的顱腦損傷患者196例，住院時首次CT掃描未見顱內血腫23例，顱內已形成血腫173例，血腫量為12～32 mL，觀察1．5～72 h內病情變化，再次複查CT見顱內齣現血腫和原有血腫不同程度增多，及時採取相應的治療措施。結果患者齣院後6箇月，根據格拉斯哥預後評分（ GOS）評訂預後，其中恢複良好124例，中殘40例，重殘19例，植物生存5例，死亡8例。結論因外傷性緻顱內血腫的患者住院後，顱內血腫短時間有繼續增多的可能，註意觀察病情變化，及時診斷併採取治療措施，患者能得到較好的治療效果。
목적：탐토로뇌손상환자입원후로내혈종진전성증다적진단급치료방법，총결여하진량강저사망솔화치잔솔。방법회고성분석2005-07-2013-07아원수치적로뇌손상환자196례，주원시수차CT소묘미견로내혈종23례，로내이형성혈종173례，혈종량위12～32 mL，관찰1．5～72 h내병정변화，재차복사CT견로내출현혈종화원유혈종불동정도증다，급시채취상응적치료조시。결과환자출원후6개월，근거격랍사가예후평분（ GOS）평정예후，기중회복량호124례，중잔40례，중잔19례，식물생존5례，사망8례。결론인외상성치로내혈종적환자주원후，로내혈종단시간유계속증다적가능，주의관찰병정변화，급시진단병채취치료조시，환자능득도교호적치료효과。
Objective To summarize the diagnosis and treat method about intracranial hematoma increasing evolutionally after patients with craniocerebral injury admitting to hospital and about how to reduce the mortality and morbidity to the greatest extent .Methods The clinical data of 196 patients with craniocerebral injury from July 2005 to July 2013 in Fengrun District people's hospital was analyzed retrospectively .There are 173 cases of intracranial he-matoma by brain CT scan on 196 patients admitting to hospital , with 12~32 mL of hematoncus ;Not 23 cases of in-tracranial hematoma.After observing conditions in 1.5~72 hours, relevant treatments were carried on when observ-ing the emerging and Original hematoma increasing to some degree by reviewing brain CT scan .Results All cases were followed up for more than half an year .According to GOS , 124 cases were in good recovery , 40 cases in moder-ate disability, 19 cases in severe disability, 5 cases in plants survived and 8 cases in death.Conclusion After pa-tients with craniocerebral injury admit to hospital , there is possibillity of intracranial hematoma increasing evolutional-ly, so it is important to observe conditions .The patients can obtain good treatment effect by expedited diagnosis and decisive treatments .
