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目的探讨外伤性迟发性硬膜外血肿原因,引起临床医师重视,提高其治疗效果。方法回顾性总结近年来68例外伤性迟发性硬膜外血肿临床特征、CT特点及救治体会。结果血肿量>30ml44例患者行手术治疗,其余24例行保守治疗;其中死亡5例,伤残6例,恢复良好57例。结论密切临床观察、动态CT复查及合理治疗是提高伤性迟发性硬膜外血肿疗效的关键。
Objective To investigate the causes of traumatic delayed-onset epidural hematoma, which arouse the attention of clinicians and improve their therapeutic effect. Methods A retrospective review of 68 cases of traumatic delayed epidural hemorrhage clinical features, CT features and treatment experience. The results of hematoma volume> 30ml44 patients underwent surgical treatment, the remaining 24 routine conservative treatment; of which 5 died, 6 disabled, good recovery in 57 cases. Conclusions Close clinical observation, dynamic CT review and rational treatment are the keys to improve the curative effect of delayed traumatic epidural hematoma.