摘要
目的探讨分析进展性出血性脑损伤(progressive hemorrhage injury,PHI)的临床特点。方法根据脑损伤类型及受伤机制分析我院108例颅脑损伤患者中出现PHI 52例者临床资料。结果额、颞叶脑挫裂伤或伴有硬膜外/下血肿、颞顶叶脑挫裂伤、急性硬膜外/下血肿、SAH、单纯颅骨骨折的发生率分别为:56.1%、40.6%、57.9%、37.5%、25.0%,占PHI总数的比例分别为:44.2%、25.0%、21.2%、5.8%、3.8%。自发性蛛网膜下腔出血(subarchnoid hemorrhage,SAH)合并其他颅内损伤、颅骨骨折合并其他颅内损伤、加速性损伤、减速性损伤、混合性损伤、对冲伤发生率分别为:57.8%、55.4%、33.3%、60.0%、33.3%、63.2%,占PHI总数的比例分别为50.0、59.6、17.3、69.2、13.5、82.7%。结论颞顶叶脑挫裂伤,额、颞叶脑挫裂伤或伴有硬膜外/下血肿,急性硬膜外/下血肿PHI发生率依次提高,SAH合并其他颅内损伤、减速性损伤、对冲伤的PHI发生率更高。
Objective To investigate and analyze the clinical features of progressive hemorrhagic brain injury （progressive, hemorrhage, injury,PHI）. Methods According to the type of brain injury and the mechanism of injury, the clinical data of 108 patients with craniocerebral injury in our hospital were analyzed with PHI 52. Results The incidence of frontal or temporal brain contusion, or subdural hematoma, temporal and parietal lobe contusion, acute epidural / subdural hematoma, SAH and simple skull fracture were 56.1%, 40.6%, 57.9%, 37.5%, 25%, respectively, proportion of total PHI was 44.2%, 25%, 21.2%, 5.8% and 3.8% respectively. SAIl （subarchnoid hemorrhage SAH） combined with other intracranial injury, skull fracture combined with other intracranial injury, injury of acceleration, deceleration injury and mixed injury, contrecoup injury incidence rate were 57.8%, 55.4%, 33.3%, 60%, 33.3%, 63.2%, proportion of total PHI was 50, 59.6, 17.3, 69.2, 13.5 and 82.7% respectively. Conclusion Temporal parietal brain contusion, frontal and temporal lobe brain contusion or accompanied by epidural hematoma / acute cpidural hematoma /, the incidence rate of PHI increased by SAH, combined with other intracranial injury, deceleration injury, contrecoup injury incidence of Pill was higher.
出处
《中国继续医学教育》
2017年第22期142-143,共2页
China Continuing Medical Education
关键词
进展性出血性脑损伤
临床分析
受伤类型
受伤机制
progressive hemorrhagic brain injury： clinical analysis： injury type
injury mechanism
