外伤性急性颅内血肿1 886例临床分析

目的:分析外伤性急性颅内血肿的治疗经验.方法:统计本院十年来外伤性急性颅内血肿数量、发病率及病因分析和治疗效果.结果:1996年9月-2006年9月共收治外伤性急性颅内血肿1 886例.其中急性硬膜外血肿678例,占36%,死亡62例,占9%;急性硬膜下血肿585例,占31%,死亡164例,占28%;急性脑内血肿623例,占33%,死亡130例,占20%;总死亡为356例,占19%.手术和保守治疗死亡率分别为26%和3.5%.结论:CT和MRI的使用使外伤性急性颅内血肿的诊断率大为提高,早期诊断、早期治疗是提高临床治愈率、降低死亡率、减少伤残率的关键.

Clinical analysis of 1 886 cases of traumatic acute intracranial hematoma

Objective: To analyze the diagnosis and treatment of traumatic acute intracranial hematoma.Methods: The number,diseased rate,the cause and effect of treatment of traumatic acute intracranial hematoma were observed and analyzed in the last ten years in our hospital.Results: From 1996 to 2006,1886 cases of traumatic acute intracranial hematima were retrospectively studied concerning the etiology,clinical types and mortality rate.Of the 1886 cases,356(18%) died.62(9%) of the 678 cases of acute extrodural hematoma died;164(28%) of the 585 cases of acute subdural hematona died;130(20%) of the 623 cases of intracrabral hematome died.260(26%) died in the 1000 operative cases and 27(3.5%) died in the 886 non-operative cases respectively.Conclusion: CT and MRI scan benefited the diagnosis of intracranial hematoma.Early diagnoses and treatment could increase the recovery and decrease the mortality rate and maimed rate.