摘要
目的探讨CT平扫显示有“漩涡征”的急性硬膜外血肿临床特点和手术治疗的疗效。方法回顾性分析30例CT平扫显示有“漩涡征”的急性硬膜外血肿患者的临床资料和急诊开颅手术治疗的经验体会及疗效。结果本组30例cT平扫显示有“漩涡征”的急性硬膜外血肿患者中，治愈12例（治愈率为40％），轻残4例，重残3例，死亡11例（病死率为36．7％）。CT平扫显示有“漩涡征”的急性硬膜外血肿的患者的手术死亡率明显高于不伴有“漩涡征”的常见的硬膜外血肿患者。结论对于CT平扫显示有“漩涡征”的急性硬膜外血肿应归类为特急型颅内血肿，应按急危重症对待，尽早急诊开颅手术，才能提高治愈率和生存率，降低死亡率。
Objective To investigate the clinical features and effect of operation treatment of a- cute epidural hematomas （EDH） with low density area＇ s swirl sign on CT. Methods By retrospectively analyzing the clinical data as well as the experience with treating 30 patients with acute EDH who were treated in our department from June 2000 to June 2012, accompanied by low density area＇ s swirl sign on CT. Results Thirty patients with acute EDH accompanied by low density area＇ s swirl sign on CT, 12 cases were cured （ recovery rate was 40% ）, 4 cases was mildly disabled, 3 cases was severely disabled, and 11 cases died （fatality was 36.7% ）. The mortality of patients with acute EDH accompanied by low density area＇ s swirl sign on CT was significantly higher than that of patients with EDH without swirl sign on CT. Conclusions EDH accompanied by low density area＇s swirl sign on CT should be classified as hyper acute EDH and regarded as emergency and severe case. Emergency operation around central region should be done to raise the curing rate and survival rate and reduce the mortality.
出处
《中国实用医刊》
2013年第15期38-39,共2页
Chinese Journal of Practical Medicine
