摘要
目的 探讨分析创伤性脑内血肿的病理特点、治疗方案和预后因素。方法 对１３８例患者进行临床研究，全组均行ＣＴ扫描。ＧＣＳ ３～１４，平均 ９．５。其中对 ８９例（６４．４９％）行开颅血肿清除或加去骨瓣减压，并给予亚低温及对症治疗。结果 按ＧＯＳ评价，恢复良好８０例（５７．９７％），中残２７例（１９．５６％），重残１２例（８．７％），死亡１９例（１３．７７％）。结论 对合并创伤性脑内血肿颅脑伤伤员的治疗应根据血肿大小、部位和伤情选择治疗方法，其中血肿部位对伤员预后有重要影响。
Objective To study the pathological characteristics, choice of treatment strategy and prognostic factors. Methods hundred and thirty-eight patients with Glasgow Coma Scale(GCS) 3-14 (mean 9. 5 ) were involved in this study. Evacuation of the hemotomas or decompressive surgery were done in 89 (64 . 49% ) patients. Moderate hypothermia was used in patients with severe brain contusion. Results According to Glasgow Outcome Scale (GOS) , good in 80 (57 97% ) , moderate disablement in 27 (19. 56% ) , severe disablement in 12 (8. 7% ) and death in 19 (13. 77% ). Conclusion The strategy choice for treating head in injury associated with traumatic intracerebral hemotomas should base on the size.location of the hematomas and the degree of brain injury. The hemotoma location is a key point in the patient prognosis.
出处
《创伤外科杂志》
2001年第2期83-85,共3页
Journal of Traumatic Surgery
关键词
颅脑损伤
脑内血肿
预后
外科手术
head injury
intracerebral hemotoma
surgery
prognosis
