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颅脑外伤后进展性颅内血肿的诊治
http://www.100md.com 《创伤外科杂志》 2006年第2期
颅脑损伤,,;颅内血肿,临床资料,1一般资料,2头颅CT扫描,3治疗方法,结果,讨论,参考文献:
     摘要: 目的 探讨颅脑外伤后进展性颅内血肿的临床特点,总结其发病机制及诊断、治疗方法。方法回顾性分析总结收治的93例外伤进展性颅内血肿病例的临床资料。结果 本组手术59例,死亡8例;保守治疗34例,死亡6例;本组死亡14例(15%)。结论 对外伤性颅内血肿绝不能仅仅依赖首次CT结果制定一成不变的治疗方案,而应进行动态观察和CT监测,根据血肿量的变化及时调整治疗方案。

    关键词:;颅内血肿

    Diagnosis and treatment of progressive traumatic intracranial hematomas

    WANG Hongsheng, ZHAO Peilin, LIU Hongquan,et al.

    (Department of Neurosurgery,251th Hospital of PLA,Zhangjiakou 075000,China)

    Abstract: Objective To investigate the clinical feature,mechanism,diagnosis and treatment of progressive traumatic intracranial hematomas.Methods The clinical data of 93 cases hospitalizd in our hospital were analysed.Results Fiftynine patients were treated with the operation,among which 8 patients died.Thirtyfour patients were treated conservatievly with 6 patients dead.The total mortality rate was 15%.Conclusion It is important to select correct treatment according to the changes of hematomas and CT.

    Key words:craniocerebral injury;intracranial hematoma

    颅脑损伤导致的颅内血肿是颅脑损伤中最多见、最危险的继发性病变 ......

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