中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2013年
8期
49-50
,共2页
颅脑损伤%基底节血肿%诊断%治疗
顱腦損傷%基底節血腫%診斷%治療
로뇌손상%기저절혈종%진단%치료
Head trauma%Basal ganglia hematoma%Diagnosis%Treatment
目的 探讨外伤性基底节区血肿的发病机制、临床特点、诊断和治疗.方法 回顾性分析所收治的16例外伤性基底节区血肿患者的临床资料.结果 16例中5例行手术治疗,11例保守治疗,伤后6个月根据格拉斯哥预后评分,良好5例,中残7例,重残3例,死亡l例.结论 外伤性基底节区血肿青壮年多见,多为车祸致伤,且常发生于对冲部位,发病率较低,致残率较高.CT扫描是首选的检查方法,动态CT扫描有利于发现迟发性外伤性基底节区血肿.只要早期诊断,经过积极而恰当治疗大部分患者预后较好.
目的 探討外傷性基底節區血腫的髮病機製、臨床特點、診斷和治療.方法 迴顧性分析所收治的16例外傷性基底節區血腫患者的臨床資料.結果 16例中5例行手術治療,11例保守治療,傷後6箇月根據格拉斯哥預後評分,良好5例,中殘7例,重殘3例,死亡l例.結論 外傷性基底節區血腫青壯年多見,多為車禍緻傷,且常髮生于對遲部位,髮病率較低,緻殘率較高.CT掃描是首選的檢查方法,動態CT掃描有利于髮現遲髮性外傷性基底節區血腫.隻要早期診斷,經過積極而恰噹治療大部分患者預後較好.
목적 탐토외상성기저절구혈종적발병궤제、림상특점、진단화치료.방법 회고성분석소수치적16예외상성기저절구혈종환자적림상자료.결과 16례중5례행수술치료,11례보수치료,상후6개월근거격랍사가예후평분,량호5례,중잔7례,중잔3례,사망l례.결론 외상성기저절구혈종청장년다견,다위차화치상,차상발생우대충부위,발병솔교저,치잔솔교고.CT소묘시수선적검사방법,동태CT소묘유리우발현지발성외상성기저절구혈종.지요조기진단,경과적겁이흡당치료대부분환자예후교호.
Objective To investigate the pathogenesis,clinical characteristics,diagnosis and treatment of traumatic basal ganglia hematoma.Methods The clinical process and treatment of the traumatic basal ganglia hematoma of 16 cases were retrospectively analyzed.Results Five cases were performed with operation.Eleven cases taken conservative treatment.GOS of all the patients were determined after 6 months.Five cases were in good prognosis,7 cases were in moderate disability,3 cases were in severe disability,1 case died.Conclusions Traumatic basal ganglia hematoma most occurred in young adults,and more due to vehicle accident,often occurred in the hedge position.The incidence of TBGH was low and the morbidity rate was high.CT scan is the preferred diagnostic method,serial CT scans are helpful to diagnose the delayed basal ganglia hematoma.Most of the patients have favorable prognosis as long as the diagnosis is early established and the patients ware aggressively treated.
