摘要
本文报告迟发性外伤性颅内血肿36例,其中硬脑膜外血肿9例、硬脑膜下血肿5例、脑内血肿10例、多发性血肿12例。23例首次CT扫描正常或表现为脑挫裂伤伴少量出血,13例发生于首次开颅术后。迟发血肿多见于外伤的急性期,以枕部着力者多见,意识变化是最重要的临床指标。本文探讨了其发病机理,并提出了早期诊断迟发血肿行CT复查或手术探查指征。
Thirty-six cases of delayed tramatic intracranial hematomas are reported in this paper. Among them 9, 5, 10 and 12 cases were epidural, subdural, intracerebral and multiple hematomas, respectively. The initial CT scans showed normal or brain contusions accompanied by a Me hemorrhage in 23 patients, and delayed intracranial hematomas developed after the earlier neurosurgical operations for evacuations of another traumatic mass lessions for urgent decompressions in 13 patients. Delayed hematomas occurred mostly in the acute stage of head injuries and most patients were impacted occipitally. Deterioration of consciousness was the most important manifestation for diagnosis. The responsible mechanisms of delayed intracranial hematomas are investigated and the indications of repeat CT scans or surgery for its early diagnosis are Droposed.
出处
《第二军医大学学报》
CAS
CSCD
北大核心
1992年第1期54-57,共4页
Academic Journal of Second Military Medical University
关键词
头部损伤
脑损伤
颅内
血肿
迟发性
head injuries
brain injuries, acute
hematomas, inttacranial
hematomas, delayed
