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创伤性迟发性颅内血肿的诊断和治疗
http://www.100md.com 2009年9月1日 《中国医药学刊》 2009年第9期
     【摘要】目的 探讨创伤性、迟发性颅内血肿的早期诊断和治疗的临床效果。方法 对47例病人的发病年龄、性别、伤因、早期诊断和治疗效果进行了回顾性分析。经过2~6个月,按GOS评定治疗效果。结果 良好者23例,中残者9例,重残者3例,植物生存者1例,死亡者9例,死亡率为19%。结论 早期诊断和治疗本病对于提高治愈率和降低死亡率至关重要,早期手术治疗本病,乃是多数病人首选的治疗方法。

    【关键词】颅脑创伤;迟发血肿;诊断;治疗

    Diagnosis and Treatment of Traumatic Delayed Intracranial Hematoma.SHU Bao-jun,LIN Bo,DAI Xiang-bin.

    【Abstract】Objective To investigate the clinical effects on the diagnosis and treatment of traumatic delayed intracranial hematoma.Methods To 47 cases traumatic delayed intracranial hematoma to take onset of illness age,sex,episode agent,early diagnosis and therapy,clinical effects were analyzed retrospectively.Results To evaluate clinical effects with GOS scores in 2~6 months.Treating outcomes:cured in 23 case,moderate disability in 9 case,severe disability in 3 case,vegetative life in 1 cases,dead in 9 case,the mortality was 19 per cent.Conclusion It is essential for curing and decreasing mortality to early diagnosis and treatment for traumatic delayed intracranial hematoma.Should be intervened early surgically,that is the optimal methods for major cases. ......

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