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目的:探讨外伤性迟发颅内血肿的手术治疗时间、方法选择及对冲伤对迟发性血肿的影响。方法:对87例对冲性颅脑损伤患者行手术治疗,其中33例伤后6 h手术,轻柔开颅,术中垫厚枕。结果:头垫厚枕轻柔开颅手术迟发血肿发生率18.2%,明显低于无防护开颅;伤后6 h开颅迟发血肿发生率26.7%,也低于6 h内手术。结论:对冲性颅脑损伤手术中,头垫厚枕,轻柔开颅和伤后6 h手术能明显减少着力侧迟发血肿的发生。
Objective: To investigate the surgical treatment time, the method selection and the impact on the delayed hematoma of traumatic delayed intracranial hematoma. Methods: 87 cases of patients with hematogenous brain injury were surgically treated. Among them, 33 cases underwent surgery 6 hours after injury, with soft craniotomy and intraoperative padded cushions. Results: The incidence of delayed hematoma in the soft craniotomy was 18.2%, which was significantly lower than that in the unprotected craniotomy. The incidence of delayed hematoma was 26.7% at 6 h after trauma, and was lower than that in 6 h. Conclusion: During the surgery of hematogenous brain injury, the operation of thick head pillow, gentle craniotomy and 6 h postoperative injury can significantly reduce the incidence of late delayed hematoma on the force side.