CAJ | 학술논문

去大骨瓣减压术后迟发性血肿因其高致死率及致残率而受到重视。目前迟发性血肿的发病机制主要有填塞效应解除及微血管功能障碍两种假说，而术前颅内压增高、中线结构偏移及颅骨骨折等则是迟发性血肿发生的危险因素。及时对去大骨瓣减压术后迟发性血肿进行早期预测、诊断及治疗对改善患者预后可能有帮助，但是目前尚无明确定论，有待建立前瞻性研究和实验模型进行确定。
거대골판감압술후지발성혈종인기고치사솔급치잔솔이수도중시。목전지발성혈종적발병궤제주요유전새효응해제급미혈관공능장애량충가설，이술전로내압증고、중선결구편이급로골골절등칙시지발성혈종발생적위험인소。급시대거대골판감압술후지발성혈종진행조기예측、진단급치료대개선환자예후가능유방조，단시목전상무명학정론，유대건립전첨성연구화실험모형진행학정。
The delayed intracranial hematoma after decompressive craniectomy is highly attended because of its high mortality and disability .The mechanisms of delayed intracranial hematoma include the release of tamponade effect and dysfunction of microvascular circulation .Increased intracranial pressure,mid-line shift of the brain,cranial fracture are the risk factors of delayed intracranial hematoma .Early prediction, diagnosis and therapy of delayed intracranial hematoma are critical and may improve the prognosis .However perspective study and experimental model are still needed for confirmation .