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迟发性外伤性颅内血肿的诊断和治疗
引用本文:李阳平,宋有利.迟发性外伤性颅内血肿的诊断和治疗[J].内蒙古民族大学学报(自然科学版),2007,22(2):188-190.
作者姓名:李阳平  宋有利
作者单位:1. 通辽市科尔沁区第一人民医院神经外科,内蒙古,通辽,028000
2. 通辽市铁路医院急诊科,内蒙古,通辽,028000
摘    要:目的:总结128例迟发性外伤性颅内血肿(DTICH)病人的诊治经验,以期提高早期诊断和治疗能力.方法:对我院11年间收治的128例迟发性外伤性颅内血肿病人的临床资料,进行回顾性分析和总结.结果:128例迟发性外伤性颅内血肿中,手术治疗112例,非手术治疗16例,其中6例病人确认DTICH时已进入脑疝晚期,临床死亡.手术治疗的112例DTICH病人,良好率为81.3%,致残率为8.9%,死亡率为9.8%.结论:早期诊断及时治疗是提高DTICH病人治愈率的关键.

关 键 词:颅脑损伤  颅内血肿  迟发性  外伤性
文章编号:1671-0185(2007)02-0188-03
收稿时间:2006-12-22
修稿时间:2006年12月22

Diagnosis and Treatment for Delayed Traumatic Intracranial Hematoma
LI Yang-ping,SONG You-li.Diagnosis and Treatment for Delayed Traumatic Intracranial Hematoma[J].Journal of Inner Mongolia University for the Nationalities(Natural Sciences),2007,22(2):188-190.
Authors:LI Yang-ping  SONG You-li
Abstract:Objective:To improve the ability of early diagnosis and correct treatment for DTICH,we summarized the experience of the diagnosis and treatment for delayed traumatic intracerebral hematoma(DTICH).Methods:Medical records of 128 cases with DTICH from March 1995 to March 2006 in our hospital were analyzed retrospectively.Results:In 128 cases,112 cases underwent surgical treatment,16 cases underwent conservative treatment and 6 cases were dead after diagnosed as cerebral hernia.In 112 patients with surgical treatment,the good recovery rate was 81.3%,the disability rate and the death rate was 8.9% and 9.8% respectively.Conclusion:Eearly diagnosis and treatment are important to decrease mortality and disability rate for DTICH.
Keywords:Brain injuries  Intracranial hematoma  Delayed  Traumatic
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