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目的探讨影响外伤性颅后窝血肿预后的相关因素。方法回顾性分析56例外伤性颅后窝血肿患者的临床资料、治疗方案与临床预后,对影响颅后窝血肿预后的相关因素进行分析。结果全组56例患者,依据格拉斯哥临床预后评分(GOS评分),恢复良好39例(4～5分),预后不良17例(1～3分),其中中残8例,重残4例,死亡5例。统计学分析外伤性颅后窝血肿预后与血肿部位、血肿量、GCS评分及伤后手术间期等因素相关,单纯颅后窝硬膜外血肿、血肿量少、入院时GCS评分高、以及伤后手术间期短患者预后较好。结论早期诊断、适当放宽手术指征并早期手术,有利于外伤性颅后窝血肿患者的预后,降低致死率和致残率。
Objective To investigate the related factors that affect the prognosis of traumatic posterior fossa hematoma. Methods A retrospective analysis of 56 cases of traumatic posterior fossa hematoma in patients with clinical data, treatment and clinical prognosis, prognostic factors affecting the prognosis of posterior fossa hematoma were analyzed. Results According to the Glasgow clinical prognostic score (GOS score), all the 56 patients recovered well in 39 cases (range 4 to 5) and poor prognosis in 17 cases (range 1 to 3), including 8 cases with moderate disability, 4 cases with disability, 5 died. Statistical analysis of the prognosis of traumatic posterior fossa hematoma and hematoma site, hematoma volume, GCS score and postoperative wound surgery and other factors related to simple posterior fossa epidural hematoma, less hematoma, admission GCS score high, and injury Postoperative short duration of patients with better prognosis. Conclusion Early diagnosis, appropriate relaxation of surgical indications and early surgery, is conducive to the prognosis of traumatic posterior fossa hematoma, reduce mortality and morbidity.