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chi fa xing wai shang xing lu nei xue zhong 48 li yuan yin fen xi ji zhen zhi ti hui
Author(s): 
Pages: 461-462
Year: Issue:  6
Journal: Journal of Nantong University(Medical sciences)

Keyword:  迟发性外伤性颅内血肿血肿清除术去骨瓣减压术;
Abstract: 目的:探讨影响迟发性外伤性颅内血肿的形成的因素、早期诊断及治疗方法.方法:回顾性分析迟发性外伤性颅内血肿48例的临床资料,通过临床观察和CT确诊迟发性颅脑内血肿,手术治疗36例,保守治疗12例.结果:年龄≥50岁28例(58.37%),减速伤45例(93.75%),GCS≤8分为30例(62.50%),脑挫裂伤39例(81.25%),颅脑外伤合并休克8例(16.67%),伤后进行首次手术治疗而发生迟发性颅内血肿25例中,在3 h内手术16例(64.00%).治疗结果:恢复良好22例,中残6例,重残6例,植物生存4例,死亡10例.结论:减速伤所致脑挫裂伤是迟发性外伤性颅内血肿的重要原因,对有明显占位效应者尽早手术清除血肿是提高疗效的关键.
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