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目的探讨颅脑外伤后迟发性颅内血肿的临床特点及治疗方案。方法回顾性分析我科2004年至2010年收治84例外伤性迟发性颅内血肿患者的临床资料。结果 84例外伤性迟发性颅内血肿中,颅脑外伤后5～12 h 50例,12～24 h 24例,24～48 h 8例,>48 h 2例;84例外伤性迟发性颅内血肿中恢复良好53例,中残15例,重残5例,植物生存5例,死亡6例。结论及时复查CT,对外伤性迟发性颅内血肿进行早期诊断是提高临床治疗效果,降低致残率及病死率的关键。
Objective To investigate the clinical features and treatment of delayed intracranial hematoma after traumatic brain injury. Methods The clinical data of 84 patients with traumatic delayed intracranial hematoma admitted from 2004 to 2010 in our department were retrospectively analyzed. Results 84 cases of traumatic delayed intracranial hematoma, 5 to 12 h after traumatic brain injury in 50 cases, 12 to 24 h in 24 cases, 24 to 48 h in 8 cases,> 48 h 2 cases; 84 traumatic delayed 53 cases of recurrent intracranial hematoma, 15 cases of moderate disability, 5 cases of severe disability, 5 cases of plant survival, 6 cases of death. Conclusions Timely review of CT, early diagnosis of traumatic delayed intracranial hematoma is the key to improve the clinical effect and reduce the morbidity and mortality.