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目的:探讨头部外伤后迟发性颅内血肿延误诊治的预防措施。方法:选取我院急诊科2014年4月-2016年12月期间收治的52例头部外伤后迟发性颅内血肿患者作为研究对象,将其随机分为观察组(初次检查后8h进行复查)和对照组(初次检查后4-6d进行复查)各26例,比较两组患者的临床治疗效果。结果:与对照组相比,观察组患者的预后相对更好,而术后复发率、NIHSS评分和颅内压相对更低,对比差异具有统计学意义(P<0.05)。结论:加强头部外伤后迟发性颅内血肿的早期诊断,及早发现病情,及时采取治疗措施,避免出现延误诊治,进而提高疾病的治疗效果,改善患者的预后。
Objective: To investigate the preventive measures for delayed diagnosis and treatment of delayed intracranial hematoma after head trauma. Methods: 52 cases of delayed intracranial hematoma after head trauma admitted from April 2014 to December 2016 in our hospital were selected as study subjects and randomly divided into observation group (8 hours after initial examination) ) And the control group (4-6d after the initial examination) for 26 cases in each group. The clinical effects of the two groups were compared. Results: Compared with the control group, the prognosis of the observation group was relatively better, while the postoperative recurrence rate, NIHSS score and intracranial pressure were relatively lower, the difference was statistically significant (P <0.05). Conclusion: It is suggested that early diagnosis of delayed intracranial hematoma after head trauma and early detection of the disease should be taken and timely treatment measures should be taken to avoid delay diagnosis and treatment, thereby improving the therapeutic effect of the disease and improving the prognosis of the patients.