摘要
目的 :探讨轻中型颅脑损伤早期使用甘露醇对外伤性迟发性颅内血肿的影响 .方法 :回顾 10 5例轻、中型颅脑损伤无外伤性迟发性颅内血肿的病人 ,分为伤后 2 4小时内使用和不使用甘露醇两组 ,对两组病例前后的CT扫描结果进行比较 .结果 :伤后 2 4小时内使用甘露醇的病人中 ,有 19 6 %的病人出现外伤性迟发性颅内血肿 ,而未使用甘露醇的病人中 ,出现外伤性迟发性颅内血肿的比率仅占 6 1% (P <0 0 5 ) .结论 :伤后 2 4小时内使用甘露醇可能更易导致外伤性迟发性颅内血肿发生 .因此我们建议轻中型颅脑损伤患者受伤早期如无明显颅内压增高症状 ,应避免使用甘露醇 ,减少外伤性迟发性颅内血肿的发生 .
Objective To discuss the effect about the early usage of mannite on delayed traumatic intracranial hematoma. Methods Look back of 105 case were divided into two groups, The first groups was treated with mannite first time in 24 hours, The second did not, Then compare the result of their CT scanning. Results The rate that delayed traumatic intracranial hematoma occurred on the patients was 19.6% in zhe first group, But zhe second was 6.1% (p<0.05). Conclusion Useing mannite in 24 hours may be more possiblely cause delayed traumatic intracranial hematoma.
出处
《宜春学院学报》
2004年第2期87-88,90,共3页
Journal of Yichun University
关键词
颅脑损伤
颅内血肿
甘露醇
Head injury
Intracranial hematoma
Mannite
