摘要
目的探讨外伤性基底节区的发病机制、临床特点、诊断与鉴别诊断、治疗和结果。方法回顾分析35例外伤性基底节区血肿患者的临床资料。结果本组外伤性基底节区血肿占闭合性颅脑创伤的2.22%,多为车祸伤,多发生于对冲部位,伤后早期出现偏瘫,而意识障碍较轻且合并弥漫性轴索损伤的发生率较高。手术治疗8例,保守治疗27例,在伤后6个月根据GOS评分:良好10例、中15例、重残1例、死亡9例。结论CT是外伤性基底节区血肿的首选检查方法,动态CT扫描有利于发现迟发性基底节区血肿。外伤性基底节区血肿发病率低而致残率较高,外伤性基底节区血肿只要早期诊断,积极而恰当的治疗,大部分患者预后较好。
Objective To study the pathogenesis,diagnosis and differential diagnosis,treatment and outcome in patients with traumatic basal ganglia hematomas（TBGH）.Methods A retros-pective analysis of the clinical data of 35patients with TBGH was performed.Results These cases represented 2.22% of the total series of severely head injuried patients admitted to our hospital between January 1999 and January 2008.Most of the patients were young persons and involved in traffic accidents.TBGH has frequently located contralatera to the side of impact.TBGH were hemiplegia and relatively good consciousness early after injury.The incidence of diffuse axonal injury in patients with TBGH was high.Serial CT scans was the best investigative modality of TBGH.Surgical treatment was achieved in 8 patients and conservative treatment in 27 patients.Final outcome in patients were graded at 6 months post injury and was classified according to GOS categories： good recovery,moderate,disability,severe disability and death were obtained in 10 cases,15 cases,1 case and 9 cases respectively.Conclusion CT is the best investigative modality of choice,serial CT scans are helpful to diagnose the delayed TBGH.The incidence of TBGH is low and the morbidity is high.Most of the patients have favorable prognosis as long as the diagnosis was early established and the patients were actively treated.
出处
《医药论坛杂志》
2010年第1期71-72,共2页
Journal of Medical Forum
关键词
基底节血肿
颅脑创伤
诊断
治疗
Basal ganglia hematoma
Head injury
Diagnosis Treatment
