CAJ | 학술논문

目的：分析重度颅脑损伤继发的迟发颅内血肿的危险因素、治疗方法及预后。方法回顾性分析我院2010年01月～2013年12月收治的80例重度颅脑损伤患者的临床资料。结果年龄＞60岁、出血部位及血压情况均为重度颅脑损伤继发迟发性颅内血肿的危险因素；经治疗，良好21例（52.5%），中度残废9例（22.5%），重度残废5例（12.5%），植物人生存状态4例（10.0%），死亡1例（2.5%）。结论重度颅脑损伤术后迟发性颅内血肿的发生率较高，其发病危险因素包括年龄、出血部位及高血压等，而对于该类患者应密切监视，并采用恰当方式积极治疗，以提高患者的预后。
목적：분석중도로뇌손상계발적지발로내혈종적위험인소、치료방법급예후。방법회고성분석아원2010년01월～2013년12월수치적80례중도로뇌손상환자적림상자료。결과년령＞60세、출혈부위급혈압정황균위중도로뇌손상계발지발성로내혈종적위험인소；경치료，량호21례（52.5%），중도잔폐9례（22.5%），중도잔폐5례（12.5%），식물인생존상태4례（10.0%），사망1례（2.5%）。결론중도로뇌손상술후지발성로내혈종적발생솔교고，기발병위험인소포괄년령、출혈부위급고혈압등，이대우해류환자응밀절감시，병채용흡당방식적겁치료，이제고환자적예후。
Objective To analysis summary of severe craniocerebral injury secondary to the risk factors for delayed intracranial hematoma, treatment and prognosis.Methods A retrospective analysis in January 2010-December 2013 clinical data of 80 patients with severe craniocerebral injury.Results Age>60 years old, bleeding and blood pressure were severe traumatic brain injury secondary to a risk factor for late-onset intracranial hematoma;Effectively at all after treatment, 21 cases (52.5%), moderate disability 9 cases (22.5%), severe disability in 5 cases (12.5%), vegetable condition 4 cases (10.0%), 1 cases died (2.5%).Conclusion The incidence of late intracranial hematoma after severe craniocerebral injury is higher, the disease risk factors including age, bleeding, and high blood pressure, etc., and for these patients should be closely monitored, and USES the appropriate way to active treatment, in order to improve the prognosis of patients.