CAJ | 학술논문

目的探讨CT平扫显示有“漩涡征”的急性硬膜外血肿临床特点和手术治疗的疗效.方法回顾性分析30例CT平扫显示有“漩涡征”的急性硬膜外血肿患者的临床资料和急诊开颅手术治疗的经验体会及疗效.结果本组30例CT平扫显示有“漩涡征”的急性硬膜外血肿患者中,治愈12例(治愈率为40％),轻残4例,重残3例,死亡11例(病死率为36.7％).CT平扫显示有“漩涡征”的急性硬膜外血肿的患者的手术死亡率明显高于不伴有“漩涡征”的常见的硬膜外血肿患者.结论对于CT平扫显示有“漩涡征”的急性硬膜外血肿应归类为特急型颅内血肿,应按急危重症对待,尽早急诊开颅手术,才能提高治愈率和生存率,降低死亡率.
목적 탐토CT평소현시유“선와정”적급성경막외혈종림상특점화수술치료적료효.방법 회고성분석30례CT평소현시유“선와정”적급성경막외혈종환자적림상자료화급진개로수술치료적경험체회급료효.결과 본조30례CT평소현시유“선와정”적급성경막외혈종환자중,치유12례(치유솔위40％),경잔4례,중잔3례,사망11례(병사솔위36.7％).CT평소현시유“선와정”적급성경막외혈종적환자적수술사망솔명현고우불반유“선와정”적상견적경막외혈종환자.결론 대우CT평소현시유“선와정”적급성경막외혈종응귀류위특급형로내혈종,응안급위중증대대,진조급진개로수술,재능제고치유솔화생존솔,강저사망솔.
Objective To investigate the clinical features and effect of operation treatment of acute epidural hematomas(EDH) with low density area' s swirl sign on CT.Methods By retrospectively analyzing the clinical data as well as the experience with treating 30 patients with acute EDH who were treated in our department from June 2000 to June 2012,accompanied by low density area' s swirl sign on CT.Results Thirty patients with acute EDH accompanied by low density area's swirl sign on CT,12 cases were cured (recovery rate was 40％),4 cases was mildly disabled,3 cases was severely disabled,and 11 cases died (fatality was 36.7％).The mortality of patients with acute EDH accompanied by low density area' s swirl sign on CT was significantly higher than that of patients with EDH without swirl sign on CT.Conclusions EDH accompanied by low density area' s swirl sign on CT should be classified as hyper acute EDH and regarded as emergency and severe case.Emergency operation around central region should be done to raise the curing rate and survival rate and reduce the mortality.