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[创伤性颅内血肿的临床特征]

[Clinical features of traumatic intracranial hematomas].

作者信息

Domaev Iu A, Samodurov A I, Dneprovskiĭ M K

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1982;82(5):12-4.

PMID:7102190
Abstract

Analysis of the clinical symptomatology was carried out in 162 patients with verified intracranial hematomas that accounted for 6.6% of all the craniocerebral injuries. Lethal outcomes were recorded in 38.9% of the cases. Hematomas that had not been diagnosed during life comprised 9.2%. Subdural hematomas were found in 54.9% of the patients, epidural in 28.4%, multiple in 13.6% and intracerebral in 3.1%. In more than 2/3 of the observations, intracranial hemorrhages were combined with an injury to the cranial bones. Acute hematomas were diagnosed in 102, subacute in 33 and chronic in 27 victims. Despite the polymorphism of the neurological data, each type of hematomas was marked by the most incident symptoms and by some aspects of the progress. Outcome of traumatic intracranial hemorrhages depended not only on the trauma severity but also on the time of admission to the hospital.

摘要

对162例已确诊颅内血肿患者的临床症状进行了分析,这些患者占所有颅脑损伤患者的6.6%。38.9%的病例记录有致命结局。生前未被诊断出的血肿占9.2%。54.9%的患者发现有硬膜下血肿,28.4%为硬膜外血肿,13.6%为多发性血肿,3.1%为脑内血肿。在超过2/3的观察病例中,颅内出血合并颅骨损伤。102例患者被诊断为急性血肿,33例为亚急性血肿,27例为慢性血肿。尽管神经学数据具有多态性,但每种类型的血肿都有最常见的症状和病程的某些方面特征。创伤性颅内出血的结局不仅取决于创伤的严重程度,还取决于入院时间。

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