现代仪器与医疗
現代儀器與醫療
현대의기여의료
Modern Instrument and Medical Treatment
2014年
3期
42-44
,共3页
硬膜下血肿%动态CT扫描%转归分析%血肿消散
硬膜下血腫%動態CT掃描%轉歸分析%血腫消散
경막하혈종%동태CT소묘%전귀분석%혈종소산
subdural hematoma%dynamic CT scan%outcome analysis%hematoma dissipate
目的：考察动态CT扫描对急性硬膜下血肿保守治疗的临床指导作用，并对血肿病变转归结果进行分析。方法：以我院2012年7月至2013年7月间收治的120例急性硬膜下血肿患者为研究对象，对其实施保守治疗且行动态CT扫描观察。统计分析CT监测期间患者的血肿转归情况，并考察影响血肿病变转归结果的相关因素。结果：17例患者硬膜下血肿于48h内快速消散，54例于2～3周内缓慢消散。20例因入院2～3周后病情加重，行颅脑钻孔引流术。21例患者入院24h后病情急速恶化，行开颅血肿清除术。影响血肿转归的考察结果显示，颅脑合并伤是导致硬膜下血肿保守治疗失败的重要原因。结论：急性硬膜下血肿患者入院后，1周内应实施动态C T扫描检测。对于存在颅脑合并伤的患者，应于入院24h内高度注意其血肿病变的恶化。
目的：攷察動態CT掃描對急性硬膜下血腫保守治療的臨床指導作用，併對血腫病變轉歸結果進行分析。方法：以我院2012年7月至2013年7月間收治的120例急性硬膜下血腫患者為研究對象，對其實施保守治療且行動態CT掃描觀察。統計分析CT鑑測期間患者的血腫轉歸情況，併攷察影響血腫病變轉歸結果的相關因素。結果：17例患者硬膜下血腫于48h內快速消散，54例于2～3週內緩慢消散。20例因入院2～3週後病情加重，行顱腦鑽孔引流術。21例患者入院24h後病情急速噁化，行開顱血腫清除術。影響血腫轉歸的攷察結果顯示，顱腦閤併傷是導緻硬膜下血腫保守治療失敗的重要原因。結論：急性硬膜下血腫患者入院後，1週內應實施動態C T掃描檢測。對于存在顱腦閤併傷的患者，應于入院24h內高度註意其血腫病變的噁化。
목적：고찰동태CT소묘대급성경막하혈종보수치료적림상지도작용，병대혈종병변전귀결과진행분석。방법：이아원2012년7월지2013년7월간수치적120례급성경막하혈종환자위연구대상，대기실시보수치료차행동태CT소묘관찰。통계분석CT감측기간환자적혈종전귀정황，병고찰영향혈종병변전귀결과적상관인소。결과：17례환자경막하혈종우48h내쾌속소산，54례우2～3주내완만소산。20례인입원2～3주후병정가중，행로뇌찬공인류술。21례환자입원24h후병정급속악화，행개로혈종청제술。영향혈종전귀적고찰결과현시，로뇌합병상시도치경막하혈종보수치료실패적중요원인。결론：급성경막하혈종환자입원후，1주내응실시동태C T소묘검측。대우존재로뇌합병상적환자，응우입원24h내고도주의기혈종병변적악화。
Objective:To investigate the clinical guidance of dynamic CT for acute subdural hematoma with conservative treatment, and the outcome of hematoma disease be analyzed in this study. Methods:120 cases patients with acute subdural hematoma were the objects for the study, which were treated in our hosptial during 2012.07-2013.07, been treated with conservative program and received a dynamic CT scan. Count and analyzed the outcomes of hematoma while monitored by dynamic CT, and investigate the factors related the outcomes of hematoma.Results:17 cases turned to rapid dissipation of subdural hematoma within 48h, 54 cases received a outcomes with hematoma slowly dissipated. 20 cases patients were deterioration after 2~3 weeks, and received a treatment with drilling brain drain. 21 cases patients were deterioration within 24h, received a craniotomy hematoma. The results of an investigation about the factors related with the outcomes showed that, the combined traumatic brain injury was the mian incentives for the failure of conservative treatment.Conclusions After the patients hospitalized with acute subdural hematoma, should be monitored by dynamic CT within 1week. For the patients combined with traumatic brain injury, should pay more attention to the deterioration of its hematoma lesions within 24h.
