CAJ | 학술논문

目的:通过观察急性颅内血肿术后发生迟发性血肿现象,探讨分析其临床诊治方法.方法:选择34例急性颅内血肿术后出现迟发性血肿现象的患者,对患者的临床资料进行分析研究,决定再次手术清除还是保守治疗.结果:34例患者中有18例患者进行再次手术清除颅内血肿,4例家属拒绝再次手术治疗,其余12例采用保守治疗.有15例恢复较好,6例中度残废,6例重度残废,3例植物生存,4例死亡.结论:急性颅内血肿术后迟发性血肿的原因一般与头部钝挫伤、颅内压发生较大变化以及颅骨骨折有关,对病情恢复情况应给予严密监控以及定时定期复查头颅CT,早发现早治疗以便保证预后恢复.
목적:통과관찰급성로내혈종술후발생지발성혈종현상,탐토분석기림상진치방법.방법:선택34례급성로내혈종술후출현지발성혈종현상적환자,대환자적림상자료진행분석연구,결정재차수술청제환시보수치료.결과:34례환자중유18례환자진행재차수술청제로내혈종,4례가속거절재차수술치료,기여12례채용보수치료.유15례회복교호,6례중도잔폐,6례중도잔폐,3례식물생존,4례사망.결론:급성로내혈종술후지발성혈종적원인일반여두부둔좌상、로내압발생교대변화이급로골골절유관,대병정회복정황응급여엄밀감공이급정시정기복사두로CT,조발현조치료이편보증예후회복.
Objective To explore the clinical diagnosis and treatment for delayed hematoma after the surgery for acute intracranial hematoma through observation.Methods Clinical data of 34 delayed hematoma patients after the surgery of acute intracranial hematoma who were treated in our hospital were analyzed and studied first and then whether they were treated with another dissection or conservative treatment was confirmed. Results Of the 34 patients,18 needed another surgery for dissecting intracranial hematoma,4 got their families refused a second surgery,and the rest 12 patients adopted conservative treatment.15 patients well recovered,6 patients were moderately disabled,6 patients were severely disabled,3 survived in vegetative state and 4 patients were dead.Conclusion The reasons for delayed hematoma after the surgery for acute intracranial hematoma are usually related to head blunt trauma,big changes of intracranial pressure,and skull fracture and it is required to closely monitor the recovery of disease and carry out periodic reexamination for skull CT,ensuring that the prognosis for recovery is good through early discovery and early treatment.