The server is under maintenance between 08:00 to 12:00 (GMT+08:00), and please visit later.
We apologize for any inconvenience caused
Login  | Sign Up  |  Oriprobe Inc. Feed
China/Asia On Demand
Journal Articles
Laws/Policies/Regulations
Companies/Products
Bookmark and Share
Clinical analysis of delayed intracerebral hematoma at non operation area post craniotomy performed with acute head injury
Author(s): 
Pages: 46-48
Year: Issue:  32
Journal: Chinese Journal of Postgraduates of Medicine

Keyword:  颅脑损伤神经外科手术颅内出血创伤性;
Abstract: 目的 探讨急性颅脑损伤开颅术后非术区迟发颅内血肿发生的机制及救治措施,总结该类患者临床救治经验以提高疗效.方法 回顾性分析急性颅脑损伤开颅术后非术区迟发颅内血肿46例患者的临床资料.其中术中探查发现4例,通过颅脑CT复查于术后3 h内发现13例,术后3-24 h发现14例,术后25-72 h发现13例,术后73 h至7 d发现2例.结果 43例患者接受再次开颅手术共47例次(其中4例接受3次开颅手术),其中去骨瓣减压32例次;3例因家属拒绝再次开颅手术而给予保守治疗.治疗后6个月按格拉斯哥预后评分(GOS)标准疗效判定:恢复良好16例,中残10例,重残6例,死亡14例.结论 急性颅脑损伤开颅术后非术区迟发颅内血肿有明显临床特点和可预见性因素,术前做出预测并尽早复查颅脑CT明确诊断再次手术干预治疗是改善患者预后的关键.
Related Articles
No related articles found