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目的探讨CT诊断外伤性迟发性颅内血肿的特点和临床应用价值。方法回顾分析30例外伤性迟发性颅内血肿患者的临床资料,分析迟发性血肿的CT表现特点,包括血肿的发生时间、类型、部位等。结果伤后2~3 d或术后72 h内出现进行性意识障碍或临床症状无明显改善,血肿类型主要是硬膜外血肿、硬膜下血肿、脑内血肿,发生部位主要为颅骨骨折线区下方,颅骨受力处及其对冲部位等。结论 CT能够及时诊断外伤性迟发性颅内血肿的发生,为临床治疗提供可靠参考。
Objective To investigate the characteristics and clinical value of CT in the diagnosis of traumatic delayed intracranial hematoma. Methods The clinical data of 30 patients with traumatic delayed intracranial hematoma were retrospectively analyzed. The CT features of delayed hematoma were analyzed, including the time, type and site of hematoma. Results There was no significant improvement in progressive disturbance of consciousness or clinical symptoms within 2 to 3 days or within 72 hours after injury. The type of hematoma was mainly epidural hematoma, subdural hematoma and intracerebral hematoma. The main site of occurrence was skull fracture line Below the area, the skull force at the hedge and so on. Conclusion CT can diagnose the delayed traumatic intracranial hematoma in time and provide a reliable reference for clinical treatment.