创伤性额叶挫伤患者的延迟性病情恶化。

Statham P F, Johnston R A, Macpherson P

Department of Neurosurgery, Southern General Hospital, Glasgow, Scotland, UK.

J Neurol Neurosurg Psychiatry. 1989 Mar;52(3):351-4. doi: 10.1136/jnnp.52.3.351.

The clinical course of 18 head injured patients in whom CT had shown frontal contusions without diffuse brain injury or intracranial haematoma was reviewed. All 10 patients with unilateral frontal contusion made a good recovery. Only two of five patients with limited bilateral frontal contusions made a good recovery. Two of three patients with extensive bilateral frontal contusions deteriorated more than 24 hours after injury, and one died. Delayed deterioration is an important complication of extensive traumatic bifrontal contusions.

回顾了18例头部受伤患者的临床病程，这些患者的CT显示有额叶挫伤，但无弥漫性脑损伤或颅内血肿。10例单侧额叶挫伤患者均恢复良好。5例局限性双侧额叶挫伤患者中只有2例恢复良好。3例广泛性双侧额叶挫伤患者中有2例在受伤24小时后病情恶化，1例死亡。延迟性病情恶化是广泛性创伤性双侧额叶挫伤的一个重要并发症。